Recognition And Reporting Of Condition Changes Practice Test

A 58-year-old client with type 2 diabetes takes insulin glargine nightly and insulin lispro with meals. Before lunch, the client is diaphoretic and confused; vital signs: heart rate 112/min, blood pressure 138/82 mm Hg, respiratory rate 18/min. Point-of-care glucose is 46 mg/dL (low; normal fasting 70–99 mg/dL). The nurse should notify the RN when the client exhibits which sign?

A 56-year-old client with type 2 diabetes is admitted for a foot infection. Current assessment: temperature 38.6°C (101.5°F), heart rate 118/min, blood pressure 94/58 mm Hg, respiratory rate 24/min; the client is confused. Recent labs: glucose 312 mg/dL (high; random normal <200 mg/dL), white blood cell count 18,500/mm³ (high; normal 4,500–11,000/mm³), lactate 4.2 mmol/L (high; normal 0.5–2.2 mmol/L). The nurse should notify the RN when the client exhibits which sign?