Nursing 123 A Nursing Practice And Common Health

A nurse is caring for a client diagnosed with diabetes. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. Which of the following nursing actions should have the highest priority? Select one:a. Call the lab for a stat glucose level.b. Administer 50% Dextrose via IV push.c. Assess the client's blood glucose level. Check the patients blood glucose. Although it is most likely that this patient is experiencing hypoglycemia, the blood glucose must be checked to confirm the problem and also to document HOW LOW the blood glucose is, which further helps determine the best treatment. Most facilities have protocols to treat hypoglycemia based on the blood glucose results. In addition, we can better evaluate how our interventions work when we compare later blood glucoses with the first blood glucose taken while the patient had symptoms.d. Give the client 4 ounces of orange juice.FeedbackThe correct answer is: Assess the client's blood glucose level.A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client is alert and oriented with the following vital signs: T 99.4 F, P 88, R 20, B/P 94/58. The nurse notes a 4