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)?
Change Image Delete
A. Serum potassium level B. Serum sodium level C. Arterial blood gas (ABG) values D. Serum osmolarity
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:
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.