The nurse is caring for a patient with type 1 diabetes who is diaphoretic and clammy. The patient complains of hunger but denies pain. The nurse performs a bedside blood glucose check. What should the nurse do next?
a. Administer insulin as scheduled.
b. Notify the charge nurse.
c. Give 6 ounces of orange juice.
d. Document the findings.
C
These findings are consistent with hypoglycemia; manifestations of hypoglycemia include tre-mulousness, hunger, headache, pallor, sweating, palpitations, blurred vision, and weakness. Management includes providing a source of quick-acting carbohydrate/glucose such as orange juice. The nurse should withhold the patient's scheduled insulin at this time. The nurse should document the findings and then notify the charge nurse.
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