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    Hesi lpn exit proctored examQuestion 27
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    Hesi lpn exit proctored exam

    An older adult client, who has type 2 diabetes mellitus (DM), is at an adult daycare center. The client becomes diaphoretic, confused, and unable to interact with the other daycare participants. The client tells the practical nurse (PN), "I just don't feel right." Which initial action should the PN take?

    Explanation & Rationale

    A. Give 4 oz (120 mL) of apple juice: Diaphoresis, confusion, and “not feeling right” indicate hypoglycemia. Rapid-acting carbohydrates should be given immediately if the client can swallow. B. Administer glucagon 0.5 mg IM: Used if the client is unconscious or unable to swallow safely. C. Assess temperature: Does not address the immediate risk of hypoglycemia. D. Evaluate deep tendon reflexes: Not relevant to urgent management of suspected hypoglycemia.

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