Prophecy Emergency Department Registered Nurse (RN) Practice Test

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What is the first nursing action to take for a diabetic patient who presents with hypoglycemia?

Administer insulin

Administer glucose immediately

Administering glucose immediately is the critical first nursing action for a diabetic patient who presents with hypoglycemia. When a patient exhibits symptoms of low blood sugar—such as confusion, dizziness, sweating, or tremors—the priority is to raise their blood glucose level swiftly to prevent further complications, such as loss of consciousness or seizures.

Glucose can be administered orally if the patient is alert and able to swallow—often through glucose tablets, gel, or a sugary beverage. In cases where the patient is unable to swallow, intravenous glucose may be necessary to ensure rapid absorption and effectiveness.

Promptly addressing hypoglycemia with glucose helps stabilize the patient and alleviates symptoms more rapidly compared to the other actions. It's essential to act quickly because prolonged hypoglycemia can lead to significant health risks, including brain damage or coma. Therefore, immediate administration of glucose is the most appropriate and critical initial response to this emergency situation.

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Obtain a blood sample

Contact the physician

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