Practice Quiz

NCLEX-RN

Category - Physiological

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A client with diabetes comes to the emergency department with diaphoresis, tachycardia, and cold, clammy skin. The client administered his daily insulin about a 1 ½ hours ago. The most appropriate action of the nurse is:
  1. Check for oxygen saturation and administer oxygen
  2. Administer insulin
  3. Give nitroglycerin and perform ECG
  4. Check blood glucose level and administer carbohydrates
Explanation
Answer -D - Based on the client’s symptoms and history, hypoglycemia is suspected. Administration of carbohydrates can increase the blood glucose level. Insulin administration will further reduce the blood glucose level. Nitroglycerin is given to clients with chest pain; administration of oxygen does not address the decreasing blood sugar level.
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