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第一型糖尿病病人出現意識混亂、盜汗與顫抖。護理師應優先採取何種措施?

A client with type 1 diabetes mellitus is found confused, diaphoretic, and shaking. Which action is the priority?

  • ACheck the client's blood glucose level immediately✓ 正解
    立即檢查病人的血糖水平
  • BObtain vital signs
    測量生命徵象
  • CAdminister subcutaneous insulin
    皮下注射胰島素
  • DAdminister 15 grams of fast-acting carbohydrate
    給予 15 公克速效碳水化合物
Explanation · 中文詳解

低血糖(Hypoglycemia)對腦部能量代謝有嚴重威脅。當第一型糖尿病病人出現意識混亂、盜汗與顫抖等典型低血糖症狀時,護理師的首要任務是確認診斷。雖然臨床表現高度疑似,但透過測量血糖(Point-of-care blood glucose)可以提供確切數據,指導接下來的處置(如給予口服碳水化合物或靜脈注射葡萄糖),確保處置的準確性與安全。

Hypoglycemia poses a serious threat to cerebral energy metabolism. When a client with type 1 diabetes presents with confusion, diaphoresis, and tremors, which are classic signs of hypoglycemia, the nurse's first priority is to confirm the diagnosis. Although the clinical presentation is highly suggestive, measuring point-of-care blood glucose provides definitive data that guides the next intervention (such as oral carbohydrate or intravenous dextrose) and ensures the accuracy and safety of treatment.

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