Jomari is diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?
A. "I can avoid getting sick by not becoming dehydrated and by paying attention to my need to urinate, drink, or eat more than usual."
B. "If I experience trembling, weakness, and headache, I should drink a glass of soda that contains sugar."
C. "I will have to monitor my blood glucose level closely and notify the physician if it s constantly elevated."
D. "If I begin to feel especially hungry and thirsty, I ll eat a snack high in carbohydrates."

A. "I can avoid getting sick by not becoming dehydrated and by paying attention to my need to urinate, drink, or eat more than usual

Explanation:

HHNS is a clinical complication of diabetes usually type ii. where the blood sugar levels is exceedingly  high. This  condition is not mark with high concentration of ketone bodies  of the blood.

Due to rapid rise in blood glucose in HHNS mostly in type 2 diabetes, Excess glucose is excreted in the urine, and water follows by osmosis, leading to excess urine production (polyuria). With  loss of body fluids(dehydration set in) and need to take more fluid(polydipsia follows) . Because the body cells lack glucose, due to  the failure of insulin receptors which enable insulin to  facilitate glucose   entry  into cells, hunger sets  in and  excessive urge to eat (polyphagia) occurs.

Therefore, Jomari  need to be conscious of dehydration. By taking enough fluid to stabilize the body fluid balance, and  avoid  intake of too much sugar which will cause polyuria, polydipsia and polypahgia.

Jomari also need to be on the watch if the rate of micturition(urine passage)  is higher than normal or if thirst and hunger rates are excessively high so that  needed medical intervention could be provided.

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