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Which patient requires immediate glucose monitoring?
Asked on Dec 13, 2025
Answer
In nursing practice, immediate glucose monitoring is crucial for patients showing signs of hypoglycemia or hyperglycemia, such as altered mental status, diaphoresis, or unexplained fatigue. Recognizing these symptoms and acting promptly ensures patient safety and effective management of blood glucose levels.
Example Concept: Patients with diabetes, especially those on insulin or oral hypoglycemic agents, require frequent glucose monitoring. Immediate monitoring is essential if the patient exhibits symptoms like confusion, shakiness, or sweating, which may indicate hypoglycemia, or if they have polyuria, polydipsia, and polyphagia, suggesting hyperglycemia. Early detection and intervention can prevent complications such as diabetic ketoacidosis or hypoglycemic coma.
Additional Comment:
- Prioritize glucose monitoring for patients with altered consciousness or acute symptoms of hypo/hyperglycemia.
- Use the ABCs framework: ensure Airway, Breathing, and Circulation are stable before focusing on glucose levels.
- Document findings and interventions promptly in the patient's medical record.
- Communicate any critical glucose level findings to the healthcare team immediately.
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