A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert, but shaky, diaphoretic, and weak. Five minutes after administering a half-cup of orange juice, the client's clinical manifestations have not changed
Which action should the nurse take next?
a.
Administer another half-cup of orange juice.
b.
Administer a half-ampule of dextrose 50% intravenously.
c.
Administer 10 units of regular insulin subcutaneously.
d.
Administer 1 mg of glucagon intramuscularly.
ANS: A
This client is experiencing mild hypoglycemia. For mild hypoglycemic manifestations, the nurse should administer oral glucose in the form of orange juice. If the symptoms do not resolve immediately, the treatment should be repeated. The client does not need intravenous dextrose, insulin, or glucagon.
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