一位第一型糖尿病病人意識喪失，護理師測得血糖 35 mg/dL。護理師應優先採取何種行動？
A client with type 1 diabetes is found unresponsive. The nurse assesses a blood glucose of 35 mg/dL. Which action should the nurse prioritize?
- AAdminister subcutaneous insulin給予皮下胰島素
- BAdminister intravenous D50W✓ 正解給予靜脈注射 D50W
- CCheck the client's blood pressure測量病人血壓
- DAdminister oral orange juice給予口服柳橙汁
第一型糖尿病患者若出現意識喪失且血糖僅 35 mg/dL，此情況為嚴重的低血糖（hypoglycemia）。低血糖會導致腦部葡萄糖供應不足，進而引起意識改變、甚至昏迷。此時的護理優先順序為快速提升血糖，以防止不可逆的神經損傷。靜脈注射高濃度葡萄糖（如 D50W）是提升血糖最快速有效的方法。 臨床思路：ABC（Airway, Breathing, Circulation）中的 C（Circulation）包含了血糖供應，低血糖直接威脅腦部功能，屬於最高優先。接著評估病人的意識狀態與呼吸，確保安全，但首要任務是扭轉低血糖的危險狀況。
A client with type 1 diabetes who is unresponsive with a blood glucose of only 35 mg/dL is in severe hypoglycemia. Hypoglycemia leads to insufficient cerebral glucose supply, causing altered consciousness or coma. The nursing priority is to rapidly raise the blood glucose to prevent irreversible neurological injury. IV high-concentration dextrose (such as D50W) is the fastest and most effective way to raise blood glucose. Clinical reasoning: In ABC (Airway, Breathing, Circulation), 'C' (Circulation) includes glucose supply; hypoglycemia directly threatens cerebral function and has the highest priority. After this, the client's level of consciousness and respiratory status should be assessed to ensure safety, but the first task is to reverse the dangerous hypoglycemia.