Question

A nurse is caring for a client who has diabetes mellitus and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse?

a.Offer the client 180 mL (6 oz) of orange juice.
b.Document the client's intake from the most recent meal.
c.Teach the client manifestations of hypoglycemia.
d.Check the client's blood glucose level.

Answer 1

The priority action for a nurse when a client with diabetes mellitus feels dizzy, weak, and shaky is to check the blood glucose level to assess for possible hypoglycemia and provide immediate intervention if necessary.

Step-by-step explanation:

If a client with diabetes mellitus reports feeling dizzy, weak, and shaky, the priority action by the nurse should be to check the client's blood glucose level. These symptoms may indicate hypoglycemia, a condition where blood glucose levels fall below normal and can lead to serious complications, such as convulsions, fainting, and even coma or death if left untreated. Checking the blood glucose level will provide immediate information on whether the client requires rapid intervention, such as consuming quick-acting sugar like orange juice, or another form of treatment. Once stabilized, it may be appropriate to document the client's intake from the most recent meal and teach the client about the manifestations of hypoglycemia, to better prepare them for future episodes.