Question

The nurse caring for a client with diabetes mellitus receives a report from another nurse that the client is experiencing a hypoglycemic episode. The nurse immediately prepares to administer 50 mL of D50 IVP. Upon entering the��� room, the nurse notes that the client seems alert and does not have any current complaints and decides not to administer the D50. Which pitfall was avoided by the nurse in this��� situation?

A. Failure to do periodic assessments
B. Incomplete assessment
C. Relying solely on��� another's assessment
D. Poor time management

Answer 1

The nurse avoided the pitfall of relying solely on another's assessment by conducting her own evaluation, ensuring that the diabetic client did not receive unnecessary and potentially harmful treatment for hypoglycemia.

Step-by-step explanation:

The nurse in the scenario avoided the pitfall of relying solely on another's assessment by conducting her own evaluation of the client's condition upon entering the room. This was a critical decision because hypoglycemia can manifest with a variety of symptoms, and the absence of symptoms reported by the previous nurse might have been due to a temporal change in the patient's condition. Administering a high-concentration glucose solution like D50 IVP without confirming hypoglycemia could result in hyperglycemia, causing an unnecessary and potentially harmful swing in the client’s blood glucose levels. By performing her own assessment, the nurse ensured appropriate and individualized patient care.