CMSRN Medical-Surgical Nursing

Answer - A - Glucose tablets and subcutaneous glucagon should be made available. Glucose tablets are taken if a hypoglycemic reaction occurs while glucagon is administered subcutaneously or intramuscularly if the client loses consciousness and is unable to take glucose by mouth. Glucagon resolves hypoglycemia by releasing glycogen stores and raises blood glucose levels. Members of the family can be taught to administer this medication and possibly prevent an emergency room visit. The nurse would not instruct a client to omit insulin. Acetone in the urine may indicate hyperglycemia. Although signs of hypoglycemia need to be taught to the client, drowsiness and coma are not the initial and key signs of this complication.