A client reports confusion and blurred vision after receiving a dose of glipizide. What should the nurse do?

Choice A rationaleAdministering glucagon intramuscularly is typically done in response to severe hypoglycemia, not for symptoms of confusion and blurred vision which are side effects of glipizide. Glucagon works by triggering the liver to release stored glucose into the bloodstream, which would not be beneficial in this case as the client’s symptoms suggest hypoglycemia, not hyperglycemia.Choice B rationaleWhile measuring the client’s vital signs is an important part of overall patient assessment, it does not directly address the client’s immediate issue of confusion and blurred vision after receiving a dose of glipizide.Choice C rationaleObtaining a fingerstick blood glucose level is the most appropriate action. The client’s symptoms of confusion and blurred vision are common side effects of glipizide, which is used to lower blood sugar levels in people with type 2 diabetes. These symptoms may indicate that the client’s blood sugar level is too low (hypoglycemia). Checking the blood glucose level will provide immediate information about the client’s current blood sugar level and guide further interventions.Choice D rationalePerforming a neurological exam is not the most appropriate immediate response. While confusion and blurred vision can be symptoms of neurological issues, in this context, they are likely related to the client’s recent dose of glipizide.