Practice Quiz

Progressive Care Nursing PCCN Exam Prep

Category - PCCN

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A female client with diabetes mellitus II comes to the facility complaining of weakness and dizziness. Initial assessment reveals a heart rate of 105 beats per minute, cold extremities, and pallor. The client reported that she had her insulin shot about 2 hours ago. Which of the following actions of the nurse is the least appropriate?
  1. Check the client's blood glucose
  2. Offer ½ can of orange juice
  3. Prepare insulin
  4. Offer about 4 Lifesavers
Explanation
Answer - C - Based on the findings, the client is experiencing hypoglycemia. Insulin must not be administered because it can further decrease the client's blood sugar levels. The nurse should offer foods that contain about 10 to 15 grams of glucose, such as ½ can of juice, 4 Lifesavers, and 4 teaspoons of sugar.
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