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Which lab test is most important for confirming that a client with a history of type 2 diabetes(controlled by Tolinase) has chances of being diagnosed with hyperosmolar hyperglycemic nonketotic syndrome(HHNS)?

Which lab test is most important for confirming that a client with a history of type 2 diabetes(controlled by Tolinase) has chances of being diagnosed with hyperosmolar hyperglycemic nonketotic syndrome(HHNS)?

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A. Serum potassium level
B. Serum sodium level
C. Arterial blood gas (ABG) values
D. Serum osmolarity
Asked by Chapman, Last updated: Mar 11, 2019

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2 Answers

e.Pablo

E.Pablo

Answered on May 10, 2018

Serum Osmolarity-rationale: Serum Osmolarity is the most important Laboratory Test if confirming HHNS is the case. It is also used to guide treatment strategies and determine evaluation criteria. Typically, a client with HHNS automatically has a Serum Osmolarity of more than 350 mosml. Serum Potassium, serum sodium. For confirming a diagnose of HHNS, ABG values are also measured, but they are not as important as Serum Osmolarity.

A candidate or client with HHNS typically has Hypernatremia and Osmotic Diuresis. The potassium level varies as ABG values reveals Acidosis. Every Client needs category, but physiological integrity client needs subcategory: reduction of risk potential cognitive level: comprehension reference:

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John Smith

John Smith

Answered on Sep 09, 2016

Serum osmolarity-rationale: serum osmolarity is the most important test for confirming hhns; its also used to guide treatment strategies and determine evaluation criteria. a client with hhns typically has a serum osmolarity of more than 350 mosm/l. serum potassium, serum sodium, and abg values are also measured, but they arent as important as serum osmolarity for confirming a diagnosis of hhns. a client with hhns typically has hypernatremia and osmotic diuresis. abg values reveal acidosis, and the potassium level is variable.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: comprehensionreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1415.
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