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ACSM

010-111 · Question #130

A client at your fitness center complains of a headache and seems disoriented. He appears ashen and has moist, cold skin. You know from his health history that he has Type II diabetes. Which of the…

The correct answer is B. Administer sugar. Cold, clammy skin combined with disorientation and headache in a diabetic individual are classic signs of hypoglycemia, requiring immediate administration of fast-acting sugar. Insulin or water would not correct the dangerously low blood glucose level.

Legal, Professional, and Ethical Responsibilities

Question

A client at your fitness center complains of a headache and seems disoriented. He appears ashen and has moist, cold skin. You know from his health history that he has Type II diabetes. Which of the following steps do you take after you call for medical assistance?

Options

  • AAdminister insulin.
  • BAdminister sugar.
  • CAdminister water.
  • DAdminister nothing... wait until emergency medical services arrive.

How the community answered

(27 responses)
  • A
    4% (1)
  • B
    78% (21)
  • C
    4% (1)
  • D
    15% (4)

Why each option

Cold, clammy skin combined with disorientation and headache in a diabetic individual are classic signs of hypoglycemia, requiring immediate administration of fast-acting sugar. Insulin or water would not correct the dangerously low blood glucose level.

AAdminister insulin.

Administering insulin would further lower the client's already deficient blood glucose, worsening the hypoglycemic episode and potentially precipitating loss of consciousness or seizure.

BAdminister sugar.Correct

The client's cold moist skin, disorientation, and headache are hallmark signs of hypoglycemia - a dangerously low blood glucose state common in Type II diabetics who may have taken too much medication or not eaten adequately. Administering a fast-acting sugar source (glucose tablets, juice, or regular soda) rapidly raises blood glucose and can prevent progression to unconsciousness or seizure. This is the accepted first-aid response for a conscious hypoglycemic individual while awaiting emergency medical services.

CAdminister water.

Water contains no glucose and has no effect on blood sugar levels, making it useless for reversing the hypoglycemic state causing the client's symptoms.

DAdminister nothing... wait until emergency medical services arrive.

Waiting without intervention risks rapid deterioration into unconsciousness or coma before EMS arrives, when the client is still conscious and able to ingest sugar safely.

Concept tested: First aid response to hypoglycemic emergency in a diabetic client

Source: https://diabetes.org/living-with-diabetes/hypoglycemia

Topics

#diabetes emergency#hypoglycemia#emergency response#first aid

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