一位第一型糖尿病患被發現意識不清、臉色蒼白且冒冷汗。護理師應優先採取的措施為何？
A client with type 1 diabetes mellitus is found unconscious, pale, and diaphoretic. What is the most appropriate action for the nurse to take first?
- AInitiate an intravenous infusion of normal saline開始靜脈輸注生理食鹽水
- BAdminister glucagon intramuscularly肌肉注射升糖素
- CAdminister an insulin injection注射胰島素
- DCheck the client's blood glucose level✓ 正解測量病人血糖
低血糖急症（Hypoglycemia）對腦部有立即威脅。當第一型糖尿病病人出現意識不清、盜汗、臉色蒼白，護理師需依循護理程序，先進行評估確認血糖值。若病人無法吞嚥且意識不清，應給予靜脈注射葡萄糖（D50W）或肌肉注射升糖素（Glucagon）。未經評估直接給予藥物或胰島素（這會導致血糖更低）是錯誤且危險的。
Hypoglycemic emergencies pose an immediate threat to the brain. When a client with type 1 diabetes presents with altered consciousness, diaphoresis, and pallor, the nurse must follow the nursing process and first assess by confirming the blood glucose level. If the client is unable to swallow and is unresponsive, intravenous dextrose (D50W) or intramuscular glucagon should be given. Administering medication or insulin (which would further lower blood glucose) without prior assessment is incorrect and dangerous.