The nurse is providing discharge instructions to a patient originally admitted with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which of the following patient statements is true regarding the prevention and management of HHNS?


• Dehydration, when combined with hyperglycemia and illness, can lead to HHNS. The patient should stay hydrated and be alert of signs of hyperglycemia

• HHNS is when extreme hyperglycemia causes severe dehydration, increased osmolarity, and coma or death. It is usually precipitated by infection, illness, or stress

• Eating carbohydrates in the presence of polydipsia will worsen the patient's condition

• Patients with type 2 diabetes are managed with oral antidiabetic agents and usually do not require blood glucose monitoring

• Drinking a glass of juice when experiencing symptoms of hyperglycemia is not recommended

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