At school, a client with type 1 diabetes mellitus sees the school nurse because of feeling sweaty and shaky. Which action should the nurse take?
a. Call the ambulance if the blood glucose is less than 200
b. Provide a large candy bar and send the client back to class
c. Provide a bottle of soda for the client to drink until symptoms subside
d. Provide 15 grams of glucose and recheck blood glucose in 15 minutes
d. Provide 15 grams of glucose and recheck blood glucose in 15 minutes
Episodes of hypoglycemia should be treated by administering 15 grams of glucose and rechecking blood glucose levels until stable. A candy bar and soda contain more than 15 grams of glucose, and either could result in a hyperglycemic episode. Blood glucose levels should be checked every 15 minutes until stable to assess if the correction for the additional carbohydrates is only temporary, and if so additional doses of 15 grams of carbohydrates should be given. A blood sugar of 200 is considered hyper- not hypoglycemia.
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