Which finding most strongly suggests hyperosmolar hyperglycaemic state rather than diabetic ketoacidosis?
Correct answer: A. Marked hyperglycaemia with little or no ketosis
- A. Marked hyperglycaemia with little or no ketosis
- B. Abdominal pain with deep rapid respirations
- C. Positive serum ketones with metabolic acidosis
- D. A fruity odour on the patient's breath
Explanation
Hyperosmolar hyperglycaemic state usually causes extreme hyperglycaemia, profound dehydration and altered mental status with minimal ketosis. Kussmaul respirations, abdominal pain, ketones and fruity breath are more characteristic of diabetic ketoacidosis.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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