The laboratory report of a client shows arterial blood pH of 7.6, blood glucose level of 650 mg/dL, and serum bicarbonate level of 17 mEq/L. What does the nurse infer from these laboratory findings?

Question

Quizplus · Accepted Answer

The client's laboratory findings indicate hyperosmolar hyperglycemic syndrome (HHS). This is suggested by the very high blood glucose level (650 mg/dL) and the arterial blood pH of 7.6, which indicates alkalosis rather than acidosis typically seen in diabetic ketoacidosis (DKA). The serum bicarbonate level of 17 mEq/L is low, but in the context of HHS, the primary issue is the severe hyperglycemia and resulting osmotic diuresis, not acidosis. HHS does not typically present with the marked ketonemia or acidosis seen in DKA.

The Laboratory Report of a Client Shows Arterial Blood PH