A client with type 1 diabetes reports feeling shaky, sweaty, and confused. The nurse checks the blood glucose level and gets a reading of 52 mg/dL. What is the nurse’s priority action?

Question

This question is asking the student to classify these signs and symptoms that the patient is experiencing. It is also asking what the RN should do first to treat the patient's signs and symptoms.

Answer 1

A. Recheck the blood glucose level in 30 minutes

B. Administer 1 mg glucagon IM

C. Provide 4 oz of orange juice

D. Notify the healthcare provider

Answer: C. Provide 4 oz of orange juice

Rationale: The patient is experiencing signs and symptoms of hypoglycemia. The priority is to give a fast-acting carbohydrate, such as juice. Glucagon (B) is for severe hypoglycemia with unconsciousness. Rechecking in 30 mins (A) delays care. Notifying the provider (D) is not the first action. This is a common problem in nursing, and the RN must be able to act quickly and safely.