Stage 4 - Generate solutions. Which actions belong in the individualized HHS plan for this older client with CKD? Select exactly 4 responses.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Older adults and people with kidney disease need smaller fluid boluses and frequent hemodynamic assessment, with serial glucose, electrolytes, creatinine, osmolality, and precipitant management.
Quick answer Build a cautious, measured, cause-directed HHS plan.
Why this is correct The consensus report recommends cautious fluids for older or kidney-disease clients and limits osmolality decline to reduce neurologic complications.
Easy analogy or mental picture Think of medication safety as a control panel: identify the dangerous signal, change the correct control, and verify the response.
Memory hook Cue, action, response, reassessment.
NCLEX decision rule Choose the action that prevents the most immediate medication-related harm while preserving the continuing indication.
Why the other choices are wrong Options that delay escalation, ignore a contraindication, or change therapy without authorization do not close the safety loop.
References
12024 Consensus Report: Hyperglycemic Crises in Adults With DiabetesHHS diagnosis, cautious fluids, insulin, potassium, osmolality, renal monitoring, and resolution criteria
Medication safety reviewVerify the indication, current assessment, laboratory trend, timing, interactions, authorized action, and measurable follow-up.