Difficulty: Medium
Average Score: 90%
Simulated
A nurse is assessing a client who is lethargic, unconscious, and difficult to arouse. The client's blood sugar result was 40 mg/dL. The nurse anticipates which of the following to be administered?
Correct answer
C
Rationale
The correct answer is C: IV dextrose 50%. A blood sugar level of 40 mg/dL indicates severe hypoglycemia, requiring immediate intervention to raise blood sugar levels. IV dextrose 50% is the most appropriate choice as it provides a rapid increase in blood glucose levels. Orange juice (choice A) and glucose tablets (choice D) are not ideal in this scenario as the client is unconscious and may not be able to safely ingest these orally. Epinephrine (choice B) is not indicated for hypoglycemia and could be harmful in this situation.