Question

The PN obtains a finger stick glucose for a client with type 1 diabetes mellitus who is conscious and demonstrating hand tremors and shaking. The PN reports the clients result of 55 mg/dL to the nurse. What action should the PN implement next?

Answer 1

After a PN reports a blood glucose level of 55 mg/dL in a client with type 1 diabetes and symptoms of hypoglycemia, the next step is to administer a fast-acting carbohydrate to raise the glucose level, recheck after 15 minutes, and continue monitoring the client.

Step-by-step explanation:

The client has type 1 diabetes mellitus and a PN reports a blood glucose level of 55 mg/dL, which falls below the normal physiological range, indicating hypoglycemia. Considering the client's symptoms of hand tremors and shaking, which are common in hypoglycemia due to insufficient glucose supply to the brain, the PN should next give the client 15-20 grams of fast-acting carbohydrate (such as glucose tablets or juice) to raise the blood glucose level. It is also important to recheck the blood glucose after 15 minutes, and if it remains low, to repeat the treatment. Once the blood glucose is stabilized, the client should consume a longer-lasting carbohydrate to prevent recurrence of hypoglycemia. Furthermore, the PN should continue to monitor the client for any further symptoms or changes in their condition.