Free BCEN Certified Emergency Nurse (CEN) Practice Question

Administering an IV bolus of dextrose is the most appropriate initial action for a patient with type 1 diabetes presenting with symptoms suggestive of severe hypoglycemia, such as altered mental status, tachycardia, and diaphoresis. These symptoms are consistent with hypoglycemia, and rapid administration of dextrose can correct the blood sugar level quickly to avoid further complications. Checking a capillary blood glucose would be important but secondary to initial treatment to correct the suspected hypoglycemia.