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    Ati lpn med surg midterm proctored exam

    A nurse observes signs of hypoglycemia in a diabetic patient. Using Maslow's Hierarchy, which action should the nurse take first?

    Explanation & Rationale

    A. Administer a fast-acting carbohydrate as prescribed: Hypoglycemia is a primary physiological threat where the brain is deprived of its essential fuel source, glucose. Rapid administration of glucose is the first-line intervention to prevent seizures, coma, or permanent neurological damage. This action addresses the most basic biological need for metabolic substrate. B. Check the patient's emotional response to symptoms: Emotional assessment is a higher-level need that cannot be effectively conducted while the patient is in a state of metabolic crisis. Physiological distress often manifests as irritability or anxiety, which resolves once glucose levels are normalized. The physical deficit must be corrected before evaluating the psyche. C. Evaluate the patient's knowledge of diabetes management: Education is a component of self-actualization and long-term health maintenance. It is inappropriate to provide teaching while a patient is experiencing acute cognitive impairment from low blood sugar. Education occurs only after the patient is physiologically stable and cognitively intact. D. Collaborate with the dietician on a long-term plan: Long-term planning is a secondary intervention focused on preventing future occurrences. It does not address the immediate, life-threatening drop in serum glucose that the patient is currently experiencing. Acute stabilization is the priority before moving to interdisciplinary long-term management strategies.

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