# The spouse of a client with type 1 diabetes is being taught how to use the home glucagon emergency kit. Which statement by the spouse indicates correct understanding?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375086&lang=en  
> language: en  
> subject: Medical Emergencies  
> category: PA

## Question

The spouse of a client with type 1 diabetes is being taught how to use the home glucagon emergency kit. Which statement by the spouse indicates correct understanding?

## Option

1. I will inject it into the thigh muscle, then call 911 and turn the person on their side. **✔ Correct answer**
2. I will give the injection by mouth so it works faster, then call 911 and turn the person on their side.
3. I will give a second injection in the other thigh if there is no response after 5 minutes and wait to call 911.
4. I will wait 30 minutes after injecting before calling 911 to see if the person improves or give a second dose.

**Correct answer: 1**

## Explanation

For severe hypoglycemia at home with an unconscious person who cannot safely swallow, the lay-rescuer steps for an injectable glucagon kit are: (1) reconstitute the powder if a traditional kit, (2) inject 1 mg IM or SC into the anterolateral thigh, deltoid, or buttock, (3) place the person in the lateral recovery position because vomiting is common, (4) call 911 immediately, and (5) when the person is awake and able to swallow, give a fast-acting carbohydrate followed by a complex carb plus protein snack to prevent rebound. Glucagon is never given by mouth because the GI tract destroys it. A repeat dose may be given in 15 minutes if there is no response, not 5. Calling 911 should not be delayed.

## In-depth explanation

Choice 2 captures the three priority lay-rescuer actions: IM injection, lateral position, and immediate 911 activation. Always pair glucagon with EMS activation because the rise in blood glucose is short-lived and the underlying cause must still be addressed.

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