A client with diabetes mellitus is in the clinic with symptoms of shakiness, confusion, rapid pulse, and hypotension. The nurse acts immediately by:
1. calling 911.
2. giving the client 12 oz of orange juice.
3. starting an IV and giving dextrose 10% rapidly.
4. giving the client three glucose tablets.
Answer: 4
1. The client must be treated immediately for these symptoms of hypoglycemia.
2. The nurse would administer 4 oz of orange juice to avoid a huge increase in blood glucose.
3. Starting an IV is not needed, and 10% dextrose would raise the blood sugar too much.
4. The nurse should give the client three glucose tablets to reach appropriate blood sugar levels.
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