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    W4 nur 226 adult health proctored exam ( med surg) exemplify

    A nurse cares for a client with hypoglycemia. The client is diaphoretic, lethargic, and pale. What action should the nurse take?

    Explanation & Rationale

    Choice A reason: Considering time constraints is irrelevant in an acute, potentially life-threatening situation. Prioritizing efficiency over client safety is unsafe. Choice B reason: The client’s symptoms indicate severe hypoglycemia, which is an emergency. The nurse must immediately address acute symptoms (e.g., administer glucose or glucagon) and obtain assistance if needed to stabilize the client. Rapid intervention prevents complications such as seizures, loss of consciousness, or death. Choice C reason: Continued assessment without intervention is inappropriate because the client is already showing signs of acute hypoglycemia. Immediate action takes precedence over ongoing observation. Choice D reason: Teaching about a diabetic diet is important for long-term management but is not the priority in an acute hypoglycemic episode. Immediate stabilization takes precedence over education.

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