護理師準備讓一位第一型糖尿病病人出院，哪一項發現最需要先處理？
A nurse is preparing to discharge a client with type 1 diabetes. Which assessment finding is most important to address prior to discharge?
- AThe client has a fasting blood sugar of 130 mg/dL病人空腹血糖為 130 mg/dL
- BThe client is unable to demonstrate proper blood glucose testing✓ 正解病人無法示範正確的血糖檢測方法
- CThe client expresses concern about the cost of insulin病人對胰島素費用表示擔憂
- DThe client forgot to bring their glucometer to the hospital病人忘記將血糖機帶到醫院
病人的自主管理能力是預防再入院的關鍵。無法正確進行血糖監測意味著病人缺乏出院後的安全管理技能，這直接影響胰島素劑量調整與安全，必須在出院前完成教導與驗收。其他選項雖重要，但不如操作能力直接關係到生命安全。
The client's self-management ability is key to preventing readmission. Inability to perform blood glucose monitoring correctly indicates that the client lacks the safety management skills needed after discharge, which directly affects insulin dosing adjustments and safety; teaching and return demonstration must be completed before discharge. The other options are also important, but none relates as directly to life-safety issues as does the ability to perform this skill.
美國出院衛教極重病人的自主操作能力檢核；台灣出院指導護理師角色亦重，特別是護理衛教單位的考核。