The wife of a 43-year-old male has called 911 because her husband was difficult to wake up and now is lethargic with garbled speech. She reports a history of diabetes, stroke, renal failure, and high blood pressure. His airway is patent, respirations tachypneic but adequate, and radial pulse rapid. Your partner reports the following vital signs: pulse 136, respirations 22, blood pressure 106/62, SpO₂ at 92%, and blood glucose 642. Which one of the following would be most appropriate in the care of this patient?

Question

Quizplus · Accepted Answer

Given the patient's high blood glucose level (642), which indicates hyperglycemia, and his SpO₂ at 92%, administering supplemental oxygen is the most appropriate immediate action to help improve his oxygen saturation and support his respiratory function. Administering oral glucose would be contraindicated due to his already high blood sugar levels. Encouraging the patient to drink water, although helpful in the long term for hydration, is not the immediate priority. Assisting the patient with his insulin requires specific medical orders and understanding of his current insulin regimen, making it less appropriate as an immediate field intervention without further assessment and guidance.

The Wife of a 43-Year-Old Male Has Called 911 Because