— 降低風險 · EASY · MCQ —
護理師教導一位病人自我注射胰島素，病人哪項陳述代表理解指導？
A nurse is teaching a client about self-administration of insulin. Which statement by the client indicates an understanding of the teaching?
- AI will rotate the injection sites to prevent lipodystrophy✓ 正解我會輪替注射部位以預防脂肪營養不良
- BI will massage the injection site after giving the insulin我會注射胰島素後按摩注射部位
- CI will use hot water to clean the injection site我會用熱水清潔注射部位
- DI will inject the insulin into the same spot each time我會每次都在同一個位置注射胰島素
— Explanation · 中文詳解 —
胰島素注射需輪替部位（rotate sites）以避免皮下脂肪增生或萎縮（lipodystrophy），確保藥物吸收率穩定。按摩會加速吸收，可能導致低血糖；重複同一點會造成組織損傷；熱水會導致血管擴張加速吸收，均非正確做法。
The client demonstrates understanding by stating they will rotate injection sites to prevent lipodystrophy, ensuring consistent insulin absorption and maintaining skin integrity. Massaging the site or using hot water can accelerate absorption and increase hypoglycemia risk, while injecting into the same spot repeatedly causes tissue damage.
✦ 台美臨床差異
台美皆強調部位輪替；美國護理師常教導病人使用圖表紀錄部位，台灣則較常委由衛教師協助畫格子紀錄。