A client is receiving total parenteral nutrition (TPN) and reports sweating, tremors, and feeling light-headed. The nurse's initial assessment reveals a blood glucose level of 2.8 mmol/L. Which action should the nurse take first?

Question: A client is receiving total parenteral nutrition (TPN) and reports sweating, tremors, and feeling light-headed. The nurse's initial assessment reveals a blood glucose level of 2.8 mmol/L. Which action should the nurse take first?

Answer options:

• Increase the TPN infusion rate temporarily. ✅ Administer a bolus of 50% dextrose as per protocol.
• Notify the primary healthcare provider immediately.
• Check the client's vital signs and complete a neurological assessment.

Correct answer: Administer a bolus of 50% dextrose as per protocol.

Explanation: The client is experiencing signs of severe hypoglycemia, which is an acute and life-threatening condition. Administering a bolus of 50% dextrose is the fastest way to raise blood glucose and is the priority intervention. Other actions would follow as necessary after immediate glucose correction.