Informatics competencies have become increasingly important for nurses in the

A 46-year old female client who was diagnosed with an upper respiratory infection yesterday and prescribed an antibiotic presents to the Emergency Department reporting, “I just don’t feel right.” PMHx – DM Type 2, hypertension, peripheral neuropathy, vascular disease, retinopathy 2. Read the following passage and identify (highlight or underline) reasons why the NURSE suspects that her patient has HHS. What were the main clues leading to this conclusion: The nurse enters the room to complete an initial assessment. This patient has recently been diagnosed with an upper respiratory tract infection which is actively being treated with antibiotics. They were previously alert and oriented but are now quite confused about where they are, why they are here, and are difficult to rouse. These are new findings. The nurse knows the blood glucose reading is high – it was an unreadable result on the glucometer and the nurse is awaiting the result from the lab draw. The nurse does a set of vitals and finds the following – Temperature – 37.4 orally (mucous membranes of mouth and lips noted to be dry and cracked when taking temperature), HR 103, BP 89/56, SpO2 93% on room air. The patient is slightly tachycardic, but heart sounds are normal. Pulses are thready. Lung sounds are clear, but they have an increased respiratory rate (22), productive cough, and rhinitis with thick, pale, yellow drainage. The patient is unable to remember the last bowel movement, denies any specific urinary concerns, but has been urinating several times each hour. They also report a burning pain from the toes to mid-calf, bilaterally. The laboratory test results arrive during the assessment, and are as follows: – Serum glucose – 32.9mmol/L – Serum Osmolality – 340 mOsm/kg – Serum Ketones – negative – Serum pH – 7.43 – Blood Urea Nitrogen (BUN) – 18.1 mmol/L – Serum Creatinine – 176 mcmol/L 3. Briefly explain why this scenario is highly suspicious for HHS? 4. List 3 nursing actions with brief rationale: 1.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."