Hypoglycemia Competency

James Smith is a 75-year-old male with insulin-dependent Type 2 Diabetes. He is currently on a cardiac, consistent-carbohydrate diet with Levemir insulin for basal coverage and Novolog insulin for mealtime and bolus doses. His point-of-care blood sugar at 6 am is 45 mg/dl. He is alert and able to chew and swallow.
The following 11 questions refer to this scenario. According to the Hypoglycemia Protocol (Policy NUR-401), the following medications are available on his profile for the treatment of blood glucose less than 70 mg/dl:

Dextrose 4 gram tablets, 4 tabs per dose Dextrose 25% oral liquid, 15 grams in 60 ml Dextrose 50% IV solution, 12.5 grams in 25 mls

Based on the above information, which medication should be given to this patient for initial treatment of his hypoglycemia?

The attending prescribing practitioner should be notified of hypoglycemic episodes, patient condition and/or to obtain further orders.

The attending prescribing practitioner must be notified PRIOR to administration of the medications for treatment of hypoglycemia.

Again, reviewing policy NUR-401, when should the patient's blood glucose be rechecked following treatment of hypoglycemia?

The nurse rechecks the blood glucose and finds that it is now 60 mg/dL What is the next course of action?

The patient's next blood glucose is now greater than 70 mg/dL What should the nurse do next?

Again, referring to NUR-401, what snack should be given to a patient to sustain his blood glucose following hypoglycemia treatment, when it is more than one hour until meal time?

When completing the Meditech assessment attached for reveral medications you should, edit the assessment 15 minutes after the dose if hypoglycemia is resolved and complete the assessment with each dose administered until hypoglycemia is resolved.

When should the nurse order a STAT lab draw to confirm blood glucose levels?

If a patient with a feeding tube has a blood glucose of less than 70 mg/dl, which medication should be administered?

If your adult patient's blood glucose is less than 70 mg/dl and he is unconscious, or unable to swallow, which medication should be administered?