The nurse is assessing a client who is recovering from an episode of diabetic ketoacidosis and the client reports feeling anxious, nervous, and sweaty. Which of the following actions should the nurse take first?

Question

Quizplus · Accepted Answer

The client's clinical manifestations are consistent with hypoglycemia and the initial action should be to check the client's glucose with a finger stick or order a stat blood glucose. If the glucose is low, the client should ingest a rapid-acting carbohydrate, such as orange juice. Glucagon might be given if the client's symptoms become worse or if the client is unconscious. Administration of lispro would drop the client's glucose further.

The Nurse Is Assessing a Client Who Is Recovering from an Episode