Which nursing action is most appropriate following administration of glucose to an infant with a Dextrostix of 30?
a. Apply a pulse oximeter.
b. Keep the infant under the warmer.
c. Recheck the blood glucose level in 30 mi-nutes.
d. Transfer the infant to the NICU.
C
Rechecking the blood glucose level in 30 minutes allows for evaluation of the effects of the glucose water feeding. Applying a pulse oximeter or keeping the infant under the warmer are not relative to administering glucose water by mouth. Transferring the infant to the NICU is not an appropriate action, because we don't know how effective the glucose feeding has been.
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