A patient has administered regular insulin 30 minutes prior but has not received a breakfast tray. The patient is experiencing nervousness and tremors. What is the nurse's first action?
a. Administer glucagon.
b. Give the patient orange juice.
c. Notify the kitchen to deliver the tray.
d. Perform bedside glucose testing.
ANS: B
The patient is symptomatic and has hypoglycemia. The nurse should give orange juice. Glucagon is given for patients unable to ingest carbohydrates. The kitchen should be notified, and bedside glucose testing should be performed, but only after the patient is given carbohydrates.
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