NCLEX-PN

●​ Fatigue : Severe fatigue and weakness are common. ●​ Respiratory Shortness of Breath : Rapid, deep breathing (Kussmaul breathing) can occur. ●​ Nausea and Vomiting : Gastrointestinal symptoms may be severe. ●​ Abdominal Pain : Abdominal discomfort or pain is common. ●​ Confusion : Clients may exhibit altered mental status or confusion. ●​ Excessive Thirst : Extreme thirst and dehydration are present. ●​ Frequent Urination : Polyuria may be severe. Signs and Symptoms of Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS) : HHNS is a severe hyperglycemic crisis primarily seen in type 2 diabetes. Signs and symptoms include: ●​ Excessive Thirst : Clients may be extremely thirsty. ●​ Fever : Elevated body temperature can occur.

●​ Muscular Weakness : Muscle weakness and fatigue are common. ●​ Convulsions or Seizures : Seizures may occur in severe cases. ●​ Increased Urination : Polyuria can be pronounced. ●​ Lethargy : Clients may be very lethargic. ●​ Nausea : Gastrointestinal symptoms may be present.Rev ●​ Confusion : Altered mental status or confusion can develop. ●​ Coma : In severe cases, clients may progress to a comatose state.

Nurses play a central role in recognizing these signs and symptoms, promptly assessing blood glucose levels, and initiating appropriate interventions, which may include administering insulin or providing glucose-containing substances, depending on whether hypoglycemia or hyperglycemia is present. Timely management is essential in maintaining the client's health and preventing complications associated with blood glucose imbalances. Factors That Result in Delayed Wound Healing Wound healing is a complex biological process involving various stages, and several factors can influence the rate and effectiveness of wound healing. Recognizing these factors is essential for healthcare professionals to provide optimal care to clients with wounds. Here are some of the factors that can result in delayed or impaired wound healing: Age : Advancing age is associated with delayed wound healing due to several reasons:

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