A 22-year-old man with type 1 diabetes mellitus is seen in an outpatient endocrine clinic for a routine follow-up visit. His baseline fasting glucose two weeks ago was 92 mg/dL. Today's fingerstick glucose is 42 mg/dL (reference 70-110 mg/dL fasting). He reports feeling shaky and his hands are trembling. Vital signs: HR 108/min, BP 118/74 mmHg, RR 18/min, temperature 37.0°C (98.6°F). Which action should the nurse take first?
- Give the client oral glucose and adjust his insulin regimen independently before he leaves.
- Document the low glucose and tremors in the chart and continue with the scheduled visit without reporting the finding or initiating appropriate intervention.
- Report the glucose value and client symptoms to the RN or provider immediately.
- Proceed with the planned insulin dose review since the client is alert and talking.