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 occurs 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.

• HHNS is more common in patients with type 2 diabetes.

• These patients are managed with oral antidiabetic agents and do not usually require blood glucose monitoring.

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

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