A nurse is caring for a client who has viral pneumonia. Which of the following actions should the nurse take?

A: Drawing up regular insulin before NPH is the correct technique, as regular insulin is short-acting and NPH is intermediate-acting. Mixing insulins should be done in a specific order to prevent contamination or altering the action of the insulins.
B: Seeing a primary care provider for foot care is appropriate for a person with diabetes. Foot care is essential due to the high risk of foot problems in diabetes, and a primary care provider can offer appropriate treatment and guidance.
C: Treating hypoglycemic reactions with 15 g of carbohydrates is the recommended initial treatment. This quick-acting source of sugar helps to raise blood glucose levels efficiently during a hypoglycemic episode.
D: Listing sweating, shaking, and palpitations as symptoms is incorrect for hyperglycemia; these are symptoms of hypoglycemia. Hyperglycemia symptoms include frequent urination, increased thirst, and blurred vision. This indicates a lack of understanding of the difference between hyperglycemia and hypoglycemia, which is crucial for managing diabetes.

A. Platelets within the normal range indicate appropriate clotting function and are not concerning in this scenario.
B. Red blood cell (RBC) count within the normal range suggests normal oxygen-carrying capacity and is not directly related to the client's symptoms.
C. Hemoglobin (Hgb) level within the normal range indicates adequate oxygen-carrying capacity and is not directly related to the client's symptoms.
D. An international normalized ratio (INR) of 5.2 is significantly elevated and indicates that the client's blood is not clotting properly. This could be a result of excessive anticoagulation from heparin therapy, which may lead to bleeding complications such as bloody stools. Therefore, the nurse should report this finding to the provider for further evaluation and possible adjustment of the anticoagulant therapy.