A client with diabetes mellitus type 1 is found unresponsive in the clinical setting. Which nursing action is a priority?
1. Call a code.
2. Treat the client for hypoglycemia.
3. Call the physician STAT.
4. Assess the client's vital signs.
Correct Answer: 2
Rationale 1: Assessment for ABCs should precede calling a code; there is no information that the client is not breathing.
Rationale 2: When a client with diabetes mellitus type 1 is found unresponsive, the nurse should focus on and treat for hypoglycemia, as this is more likely than hyperglycemia.
Rationale 3: .This is an emergency situation where the nurse must act before calling the physician.
Rationale 4: Vital signs should be taken after the client is treated for hypoglycemia.
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