A nurse is caring for a conscious client with diabetes mellitus who suddenly becomes diaphoretic, tachycardic, and reports feeling shaky. In what order should the nurse perform the following actions? Arrange the actions in the correct sequence from first to last.
- 1Check the client's capillary blood glucose level.
- 2Administer 15 grams of a fast-acting carbohydrate.
- 3Recheck the capillary blood glucose level in 15 minutes.
- 4Provide a snack containing a complex carbohydrate and protein.
Cevap
The correct sequence follows the 'Rule of 15' for hypoglycemia management: First, check the blood glucose level; second, administer 15 grams of a fast-acting carbohydrate; third, recheck the blood glucose in 15 minutes; and finally, provide a complex carbohydrate and protein snack.
The sequence follows standard physiological adaptation protocols for acute hypoglycemia, known as the 'Rule of 15'. The nurse must first confirm the suspected hypoglycemia with a capillary blood glucose check to ensure safe practice. Once confirmed, 15 grams of a fast-acting carbohydrate is administered because it absorbs rapidly to correct the deficit. The nurse then waits 15 minutes and re-evaluates the blood glucose to confirm the intervention worked. Finally, because simple sugars metabolize quickly, a complex carbohydrate and protein snack is given to stabilize the blood sugar and prevent a rebound hypoglycemic episode.
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Hypoglycemia Management Protocol (Rule of 15)
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