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What is the priority nursing action for a patient experiencing a hypoglycemic episode?
Asked on Feb 22, 2026
Answer
In a hypoglycemic episode, the priority nursing action is to quickly assess the patient's blood glucose level and provide a fast-acting carbohydrate to raise blood sugar levels. This ensures the patient's immediate safety and prevents further complications.
Example Nursing Steps:
- Step 1 – Check the patient's blood glucose level using a glucometer.
- Step 2 – Administer 15 grams of a fast-acting carbohydrate, such as glucose tablets or juice, if the blood glucose is below 70 mg/dL.
- Step 3 – Recheck blood glucose after 15 minutes and repeat carbohydrate administration if necessary; document the episode and interventions.
Additional Comment:
- Always follow the "rule of 15" for hypoglycemia: 15 grams of carbohydrate, wait 15 minutes, and recheck.
- Ensure the patient is safe from falls or injury during the episode.
- Consider potential causes of hypoglycemia, such as missed meals or excessive insulin, and address them.
- Educate the patient on recognizing early signs of hypoglycemia and appropriate self-management strategies.
- In severe cases where the patient is unconscious, glucagon may be administered per protocol.
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