Patients with hyperglycemic hyperosmolar non-ketotic syndrome (HHNS) suffer from:

The client on an intensified insulin regimen consistently has a fasting blood glucose of 110mg/dL, a postprandial blood glucose level of 220 mg/dL, and a hemoglobin A1c level of 8.1%. What is the nurse’s interpretation of these findings?

A 24-year-old-male client in the above scenario weighs 165lbs. He has an IV line placed, and Normal Saline is infusing as ordered. He has an order for a 10 unit bolus dose of insulin followed by an insulin infusion to run at 7 units/hr, then titrate per algorithm 3. The insulin drip is 100mL of 0.9% Normal Saline with 100 units of insulin added. What rate will you set on the electronic IV infusion pump?

A nurse is attending a morning meeting when the person seated next to her begins to sweat, tremble and complains of marked dizziness. The nurse notices a medical alert bracelet for diabetes.  What is the nurse’s best action?

A client is newly diagnosed with Type 1 diabetes and hospitalized for treatment and blood glucose stabilization. She is being taught insulin administration and self monitoring of blood glucose levels.  What is the major benefit of self monitoring of blood glucose levels?

For which situation should the nurse suggest the pen-type injector insulin delivery system?

What intervention should the nurse teach the client with diabetes who uses an insulin infusion pump to prevent the complication of infection?

A nurse is working on a cardiac unit and is ready to complete a second assessment for the following clients who all received insulin aspart with breakfast. In which order should the nurse asses the following assigned clients?   a.  A 64 year old male 1 day post AVR with chest tubes, reporting pain 3 on 0-10 scale. b.  A  53 year old female 2 days post CABG with an insulin drip requiring hourly blood glucose checks and adjustments to the drip rate per nomogram.   c.  A 72 year old male with COPD, in droplet and contact isolation for RSV who complains of dyspnea with oxygen at 2L. Continuous oximetry reads 92%. d.  A 68 year old type 2 diabetic male who is hospitalized with pneumonia who is diaphoretic, and speech is slurred.     In what order of priority should the nurse assess these clients?

Given the information about following drugs, which would you expect to have the highest potency?                Recall that   Drug Kd A 0.2 μg/ml 10 B 0.4 μg/ml 100 C 0.4 μg/ml 10 D 0.6 μg/ml 50 E 0.8 μg/ml 0.5                

Why did the Japanese often experience such high casualty rates during World War II?