— 照護管理 · MEDIUM · MCQ —
護理師教導病人自行施打胰島素，哪項行為顯示衛教有效？
A nurse is teaching a client about self-administration of insulin. Which action by the client indicates that the teaching has been effective?
- AInjecting the insulin into the same area every time每次將胰島素注射至同一部位
- BShaking the insulin vial vigorously before drawing抽取前用力搖晃胰島素瓶
- CRotating injection sites daily✓ 正解每日輪替注射部位
- DStoring the insulin vial in the freezer將胰島素瓶存放在冰箱冷凍庫
— Explanation · 中文詳解 —
胰島素注射需輪替注射部位，以預防皮下脂肪增生或萎縮（Lipodystrophy），確保藥物吸收穩定。重複注射同一處會影響胰島素吸收速率與效果。其他選項如激烈震盪會破壞胰島素結構，冷凍則會損壞蛋白質活性，皆為錯誤的操作。
Effective teaching of insulin administration is indicated by the client's plan to rotate injection sites daily. Rotating sites prevents lipohypertrophy and ensures consistent drug absorption, whereas injecting in the same spot, shaking the vial, or freezing the insulin can lead to tissue damage or degraded medication.
✦ 台美臨床差異
美國傾向教導病人主導自我監測；台灣護理師則常需同時衛教照護家屬，雙向加強學習效果。