A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription?

Correct Answer: C

Rationale: The primary goal of treatment in hyperosmolar hyperglycemic syndrome (HHS) is to rehydrate the client to restore fluid volume and to correct electrolyte deficiency. Intravenous (IV) fluid replacement is similar to that administered in diabetic ketoacidosis (DKA) and begins with IV infusion of normal saline. Regular insulin, not NPH insulin, would be administered. The use of sodium bicarbonate to correct acidosis is avoided because it can precipitate a further drop in serum potassium levels. Intubation and mechanical ventilation are not required to treat HHS.

Correct Answer: D

Rationale: Chilling may be controlled by keeping the room temperature at 85°F (29.4°C). Strict surgical protocol is observed and analgesia should be given before the treatment. Frequent circulation checks are not a high priority with the open method.

Correct Answer: A

Rationale: Butterfly rash on face, sensitivity to sunlight, polyarthralgias, and polyarthritis are some of the main criteria leading to the diagnosis of SLE. This question was restructured from a multiple-response format, with butterfly rash selected as a primary diagnostic criterion.

Correct Answer: C

Rationale: The minimum acceptable urine output for an adult is 30 mL/hr.

Correct Answer: B

Rationale: Maintaining a supine position could worsen gas exchange due to reduced lung expansion and potential airway obstruction. Repositioning, suctioning, and humidified oxygen support airway management.