— 照護管理 · EASY · MCQ —
護理師正教導病人自我注射胰島素，病人哪句話顯示其已理解？
A nurse is teaching a client about self-administration of insulin. Which statement by the client indicates understanding?
- AI will massage the injection site immediately after the injection.我會立即按摩注射部位。
- BI will rotate my injection sites to prevent lipohypertrophy.✓ 正解我會輪替注射部位以預防脂肪肥厚。
- CI will store my extra insulin in the freezer.我會將備用的胰島素存放在冷凍庫。
- DI will reuse the same needle for multiple injections to save money.我會重複使用同一支針頭以節省費用。
— Explanation · 中文詳解 —
為了預防皮下脂肪增生（Lipohypertrophy），病人必須定期更換注射部位。選項 B 正確指出此關鍵衛教點。重複使用針頭、按摩注射部位、冷凍保存胰島素皆為錯誤做法，會增加感染風險、改變藥物吸收速度或造成藥物結晶化而失去藥效。
Rotating injection sites prevents lipohypertrophy, which is the accumulation of fatty tissue at the injection site that can alter insulin absorption. Massaging the site, freezing insulin, or reusing needles are incorrect practices that can lead to erratic absorption, medication degradation, or increased infection risk.
✦ 台美臨床差異
美國衛教強調病人的自主管理與資源連結；台灣病人較習慣依賴回診時的醫護檢查。