On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. Which is the immediate action taken by the nurse?
A) Call the physician.
B) Obtain a glucometer reading.
C) Administer fruit juice.
D) Start an IV of dextrose.
B
Feedback:
When a client with diabetes is found unconscious, DKA and hypoglycemia need to be ruled out. Completing a glucometer reading will provide the necessary information for treating the client. A client in a stuporous state would be at risk for aspiration on juice. IV dextrose would require an order from a physician. Calling the physician prior to obtaining blood sugar would not be the first action taken.
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