A person who is diabetic is brought into the Emergency Department by a friend who found him on the floor unconscious. The first nursing action would be to:
  1. Ask the friend what happened and how long the client was unconscious
  2. Assess the client for signs of head trauma when he collapsed
  3. Obtain a blood sugar level and start an IV infusion
  4. Contact the client’s immediate family to come to the hospital
Explanation
Answer - C - The first action is to measure the glucose level, start an IV, and prepare to give glucose or insulin. A dangerously low blood sugar level is life-threatening and must be corrected immediately. Choices A, B, and D are not incorrect nursing actions; however, they are not the first priority.
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