A nurse is assessing a client who is lethargic, unconscious, and difficult to arouse. The client's blood sugar result was 40 mg/dL. The nurse anticipates which of the following to be administered?

Choice A reason: While 1 oz of orange juice can help raise blood glucose levels in conscious patients experiencing mild hypoglycemia, it is not appropriate for someone who is unconscious and difficult to arouse. Such clients cannot safely consume liquids orally due to the risk of aspiration. Choice B reason: Epinephrine is not used to treat hypoglycemia. It is typically administered during severe allergic reactions (anaphylaxis) or cardiac arrest. It does not address the immediate need to raise blood glucose levels in hypoglycemic patients. Choice C reason: IV dextrose 50% is the appropriate treatment for severe hypoglycemia in unconscious or lethargic patients. It provides a rapid increase in blood glucose levels and is administered intravenously, which is safe and effective for patients who cannot take oral glucose. Choice D reason: Glucose tablets can be used to treat mild to moderate hypoglycemia in conscious patients. However, they are not suitable for patients who are unconscious or difficult to arouse, as these patients cannot safely chew and swallow tablets without the risk of choking or aspiration.