— 藥理與非經腸給藥 · EASY · MCQ —
一位第一型糖尿病病人正接受正規胰島素治療，護理師觀察到顫抖、盜汗與意識混亂。護理師應優先採取何種行動？
A client with type 1 diabetes is receiving regular insulin. The nurse observes tremors, diaphoresis, and confusion. Which action should the nurse prioritize?
- AAdminister a dose of 50% dextrose IV靜脈注射50%葡萄糖
- BNotify the healthcare provider通知醫療提供者
- CCheck blood glucose level✓ 正解檢查血糖值
- DProvide 15 grams of fast-acting carbohydrate提供15克速效碳水化合物
— Explanation · 中文詳解 —
低血糖（Hypoglycemia）發作時，護理師必須迅速評估與處置。儘管顫抖、盜汗、意識混亂是典型的低血糖表徵，但在給予任何治療前，確認血糖數值（Check blood glucose）是護理標準（Standard of care）。這能避免誤診，確保給予的處置（如給糖）是基於客觀數據，符合安全給藥原則。
When hypoglycemia occurs, the nurse must assess and intervene quickly. Although tremors, diaphoresis, and confusion are classic findings of hypoglycemia, confirming the blood glucose level before delivering any treatment is the standard of care. This avoids misdiagnosis and ensures that the intervention (such as giving carbohydrate) is based on objective data and in keeping with safe medication administration principles.