A client with diabetes is unconscious, has a blood glucose o… | MyMerci
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Medication Administration PPT
Question

A client with diabetes is unconscious, has a blood glucose of 31 mg/dL, and has no intravenous access. Which action should the nurse take?

Explanation
An unconscious client cannot safely swallow. When severe hypoglycemia occurs and intravenous access is unavailable, prescribed glucagon is administered promptly. The client is turned to the side because vomiting can occur, emergency help is activated, and glucose and airway status are monitored. Once awake and able to swallow, the client receives carbohydrate according to the treatment plan.
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In-depth explanation

Clinical reasoning
Severe hypoglycemia can cause seizures, brain injury, or death. Oral carbohydrate creates an aspiration risk in an unconscious client, and insulin would worsen the emergency.

Decision rule
If the client cannot swallow and intravenous glucose is not immediately available, give prescribed glucagon, position laterally, call for emergency support, and continue glucose and airway monitoring.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.