A conscious patient with diabetes is sweaty, confused and has a capillary glucose level of 58 mg/dL (3.2 mmol/L). What is the most appropriate initial action?
Correct answer: A. Give 15 g of rapid-acting carbohydrate
- A. Give 15 g of rapid-acting carbohydrate
- B. Give the usual dose of rapid-acting insulin
- C. Provide a meal high in fat and protein
- D. Ask the patient to rest and recheck later
Explanation
A conscious patient who can swallow should receive about 15 g of rapidly absorbed carbohydrate, followed by a glucose recheck after about 15 minutes. Insulin would worsen hypoglycaemia, while fat and protein delay glucose absorption.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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