— 降低風險 · HARD · MCQ —
病人正在接受全靜脈營養（TPN）輸注，哪項護理措施對於預防併發症最為優先？
A client is receiving total parenteral nutrition (TPN). Which nursing action is priority to prevent complications?
- AChange the TPN tubing every 72 hours每72小時更換TPN管路
- BCheck blood glucose levels every 6 hours✓ 正解每6小時檢查血糖
- CAdminister insulin via a separate IV line透過單獨的靜脈通路給予胰島素
- DIncrease the infusion rate if the client feels hungry如果個案感到飢餓，增加輸注速率
— Explanation · 中文詳解 —
TPN 含有高濃度的葡萄糖，易造成血糖劇烈波動。定期監測血糖是預防高血糖高滲透壓狀態（HHS）及低血糖反應（若輸注中斷）的關鍵。其他選項如更換管路應配合脂質輸注頻率（通常 24 小時），且不可擅自更改流速。
Total parenteral nutrition contains high concentrations of glucose, which can cause significant fluctuations in blood sugar levels. Regular monitoring of blood glucose is essential to prevent complications such as hyperosmolar hyperglycemic state or hypoglycemia if the infusion is interrupted.
✦ 台美臨床差異
美國護理師常依據 Protocol 執行血糖監控並調整胰島素劑量，台灣護理師執行調整需醫師開立醫囑。