The nurse is caring for a 76-year-old client with type 2 diabetes who is recovering from surgery following a hip fracture. In addition to blood glucose level, what should the nurse recognize as a sign of hyperosmolar hyperglycemic state (HHS)?

Question

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A)Older adults with type 2 diabetes who have undergone a major surgery are at high risk for developing hyperosmolar hyperglycemic state (HHS). Symptoms of HHS include greatly elevated blood glucose levels, high plasma osmolarity, and altered level of consciousness. Other symptoms include increased urine output, dry skin and mucous membranes (not excessive sweating), extreme thirst, and lethargy (not insomnia). HHS leads to dehydration and fluid loss, not edema.
B)Older adults with type 2 diabetes who have undergone a major surgery are at high risk for developing hyperosmolar hyperglycemic state (HHS). Symptoms of HHS include greatly elevated blood glucose levels, high plasma osmolarity, and altered level of consciousness. Other symptoms include increased urine output, dry skin and mucous membranes (not excessive sweating), extreme thirst, and lethargy (not insomnia). HHS leads to dehydration and fluid loss, not edema.
C)Older adults with type 2 diabetes who have undergone a major surgery are at high risk for developing hyperosmolar hyperglycemic state (HHS). Symptoms of HHS include greatly elevated blood glucose levels, high plasma osmolarity, and altered level of consciousness. Other symptoms include increased urine output, dry skin and mucous membranes (not excessive sweating), extreme thirst, and lethargy (not insomnia). HHS leads to dehydration and fluid loss, not edema.
D)Older adults with type 2 diabetes who have undergone a major surgery are at high risk for developing hyperosmolar hyperglycemic state (HHS). Symptoms of HHS include greatly elevated blood glucose levels, high plasma osmolarity, and altered level of consciousness. Other symptoms include increased urine output, dry skin and mucous membranes (not excessive sweating), extreme thirst, and lethargy (not insomnia). HHS leads to dehydration and fluid loss, not edema.

The Nurse Is Caring for a 76-Year-Old Client with Type