A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of the following actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL?

Rationale: A. Administer IV dextrose: IV dextrose is reserved for severe hypoglycemia, especially when the client is unconscious, unable to swallow, or experiencing seizures. Since the client is alert with only mild tremors, oral carbohydrate administration is safer and appropriate. B. Administer 15 g of carbohydrates: A glucose level of 60 mg/dL is below normal, and symptoms of adrenergic response such as tremors indicate mild hypoglycemia. Providing 15 g of fast-acting carbohydrates, such as juice or glucose tablets, is the first-line treatment in a conscious client. C. Administer 1 mg of glucagon IM: Glucagon is typically used in cases of severe hypoglycemia when IV access is unavailable and the client cannot safely ingest oral glucose. It is not necessary for this client who is alert and able to take oral carbohydrates. D. Retest the blood glucose level: Retesting immediately without providing carbohydrates delays treatment and risks worsening hypoglycemia. Blood glucose should be rechecked 15 minutes after carbohydrate administration to ensure the level is rising appropriately.