# A client with type 1 diabetes received the morning insulin dose, and the breakfast tray was delayed. The client is alert, can swallow, and reports shakiness. The point-of-care glucose is 58 mg/dL. Which action should the nurse take next? > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=522675&lang=en > language: en > subject: Illness Management > category: PA ## Question A client with type 1 diabetes received the morning insulin dose, and the breakfast tray was delayed. The client is alert, can swallow, and reports shakiness. The point-of-care glucose is 58 mg/dL. Which action should the nurse take next? ## Option 1. Give 30 g of oral glucose gel so that the glucose level rises faster 2. Give 15 g of oral glucose gel and recheck the glucose in 15 minutes **✔ Correct answer** 3. Give 15 g of oral glucose gel and then serve the meal tray at once 4. Prepare intravenous dextrose 50% because the reading is below 60 **Correct answer: 2** ## Explanation Treat conscious hypoglycemia with 15 g of fast-acting carbohydrate, then recheck the glucose after 15 minutes. The recheck confirms recovery before a meal is offered. ## In-depth explanation Quick answer Give 15 g of fast-acting carbohydrate and recheck the glucose after 15 minutes. Why this is correct A client who is alert and able to swallow is treated by the oral route. The 15 g amount raises the glucose without overshooting, and the 15-minute recheck is the step that proves treatment worked before anything else is added. Easy analogy or mental picture The recheck is like reading a thermometer after turning up the heat. Skipping it means acting on hope rather than on a measured value, although the analogy does not imply that another dose is automatic. Memory hook 15 g, then 15 minutes, then look again. NCLEX decision rule For symptomatic hypoglycemia in a client who can swallow, give 15 g of oral carbohydrate and recheck in 15 minutes. Reserve intravenous dextrose for a client who cannot take carbohydrate safely by mouth. Why the other choices are wrong Doubling the carbohydrate does not speed recovery and risks rebound hyperglycemia. Serving the meal before the recheck removes the confirmation step. Intravenous dextrose belongs to the client who cannot swallow.References - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]MedlinePlus: HypoglycemiaU.S. National Library of Medicine ## Related questions - [A client with suspected urosepsis has a temperature of 39.1 C, blood pressure 86/48 mm Hg,…](https://mymerci.kr/pages/nclex_q.php?qn_id=393666&lang=en) - [A client with diabetic ketoacidosis is prescribed IV insulin. The potassium level is 2.9 m…](https://mymerci.kr/pages/nclex_q.php?qn_id=394074&lang=en) - [A client with kidney failure has a potassium level of 6.4 mEq/L. Which finding requires im…](https://mymerci.kr/pages/nclex_q.php?qn_id=394118&lang=en) - [A client with adrenal insufficiency has vomiting, severe weakness, blood pressure 78/42 mm…](https://mymerci.kr/pages/nclex_q.php?qn_id=394151&lang=en) - [A client with suspected infection has temperature 39.2 C, heart rate 126/min, blood pressu…](https://mymerci.kr/pages/nclex_q.php?qn_id=397263&lang=en) - [A client develops stridor, facial swelling, and hypotension after receiving an antibiotic.…](https://mymerci.kr/pages/nclex_q.php?qn_id=397318&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=522675&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=522675&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=522675&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=522675&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=522675&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. Always follow current clinical guidelines and your institution’s protocols._