An older patient with type 2 diabetes mellitus has a capillary blood glucose level of 44 mg/dL. What is the nurse's priority action? What should the patient ingest to provide an immediate source of carbohydrate?
1. Provide four ounces of orange juice to the patient.
2. Glucose level is normal so no action is required.
3. Ask the patient when they last ate a meal.
4. Offer three to five pieces of sugar-free candy
1. Provide four ounces of orange juice to the patient.
Explanation: 1. The best choice to treat the hypoglycemia is a concentrated carbohydrate source that can be taken quickly to raise the glucose to a safe level. Orange juice is the best option because it can be taken and absorbed quickly and is a good source of concentrated carbohydrate.
2. The blood glucose level is low and a concentrated carbohydrate source is needed.
3. Action needs to be taken immediately to increase the low blood sugar level.
4. There is no glucose available in sugar-free candy.
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