A 32-year-old woman with type 1 diabetes mellitus is seen in the outpatient clinic for a follow-up visit after adjusting her insulin regimen. Her baseline fasting glucose two weeks ago was 98 mg/dL. Today's point-of-care fasting glucose is 45 mg/dL. Vital signs are BP 108/68 mmHg, HR 96 beats/min, RR 18 breaths/min, SpO2 98% on room air, temperature 98.4°F (36.9°C). The client reports feeling shaky and slightly confused. The LPN/VN obtained the fingerstick glucose as part of the visit. What should the LPN/VN do next?
- Report the glucose value and client symptoms to the RN or provider immediately.
- Give the client oral glucose tablets and adjust her insulin dose independently.
- Document the glucose result and shakiness in the chart and continue the visit without notifying the RN or health care provider
- Proceed with the scheduled insulin teaching session as planned.