A 65-year-old client with type 1 diabetes is found unresponsive on the floor. Bedside blood glucose is 35 mg/dL. The client has IV access. Which intervention by the nurse is most appropriate FIRST?

• 1 Administer subcutaneous lispro 5 units to balance glucose levels.
• 2 Administer 25 grams of dextrose 50% (D50W, ~50 mL) IV push immediately, then recheck blood glucose; if no IV access, give glucagon 1 mg IM/SC; place client in lateral position, monitor airway, vital signs, and recovery; identify the cause and notify the provider. ✓ Correct answer
• 3 Wait for the breakfast tray and have the client eat carbs.
• 4 Give 8 oz of orange juice and recheck glucose in 15 minutes.

For study reference only. Always follow current clinical guidelines and your institution’s protocols.