— 生理適應 · EASY · MCQ —
護理師正在評估一位新診斷為第二型糖尿病的病人。哪項發現需要護理師介入？
A nurse is assessing a client with newly diagnosed diabetes mellitus type 2. Which finding requires the nurse to intervene?
- APolyuria and polydipsia✓ 正解多尿和多飲
- BFasting blood glucose of 130 mg/dL空腹血糖 130 mg/dL
- CComplaints of fatigue and blurred vision主訴疲倦和視力模糊
- DHemoglobin A1c of 7.5%糖化血色素（Hemoglobin A1c）7.5%
— Explanation · 中文詳解 —
第二型糖尿病的典型症狀包括多尿（polyuria）、多渴（polydipsia）、多食（polyphagia）、體重減輕、視力模糊、疲勞等。空腹血糖 130 mg/dL 雖偏高但屬常見；HbA1c 7.5% 屬控制不良但非急性危險。多尿多渴是血糖過高最明顯的警訊，需儘速處理。
Typical manifestations of type 2 diabetes mellitus include polyuria, polydipsia, polyphagia, weight loss, blurred vision, and fatigue. A fasting blood glucose of 130 mg/dL is elevated but common; a hemoglobin A1c of 7.5% reflects poorly controlled diabetes but is not an acute danger. Polyuria and polydipsia are the most obvious warning signs of severely elevated blood glucose and require prompt intervention.
✦ 台美臨床差異
美國較強調病人自主管理與衛教，護理師在初期診斷時會深入解釋症狀與居家照護；台灣可能受限於診間時間，衛教較為精簡。