A patient with diabetes becomes unconscious and has no safe swallowing reflex. The capillary glucose level is 42 mg/dL (2.3 mmol/L). Which action is most appropriate?
Correct answer: B. Administer prescribed intravenous dextrose
- A. Give glucose tablets by mouth
- B. Administer prescribed intravenous dextrose
- C. Offer a glass of fruit juice
- D. Place food inside the patient's mouth
Explanation
An unconscious patient cannot safely swallow, so oral food or drink can cause aspiration. Intravenous dextrose is appropriate when vascular access is available; glucagon may be used when intravenous access cannot be promptly obtained.
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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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