hard · NCLEX-RN risk-reduction

A client with type 1 diabetes is found to be confused and diaphoretic. A bedside glucose check shows 38 mg/dL.

According to the 'Trend before label' principle, what is the nurse's priority action after stabilizing the client?

  1. Investigate the timing of the last insulin dose, current intake, and any new medications.
  2. Document the episode as 'uncontrolled diabetes' in the permanent record.
  3. Request a referral for long-term psychiatric evaluation for the confusion, for this client.
  4. Stop all future insulin doses until a new endocrinology consult is completed, for this client.

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