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Which of the Following Evaluation Data Would Best Lead the Nurse

Question 8

Multiple Choice

Which of the following evaluation data would best lead the nurse to conclude that the client with hyperglycemic hyperosmolar nonketotic coma (HHNK) has demonstrated improvement during the first 24 hours?


A) Alert and oriented, balanced intake and output, and moist mucous membranes
B) Intake equals output, denies pain and shortness of breath
C) Alert and oriented, blood and urine without ketones, and no orthostatic BP
D) Respirations easy and even, eats 50 to 75 percent of meals, and vital signs stable

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