— 基本照護與舒適 · HARD · SATA —
護理師教導病人管理血糖，病人哪些敘述代表需要進一步指導？（選所有適合的）
A nurse is teaching a client how to manage their blood glucose levels. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will change the site of my insulin injection every time每次都會更換胰島素注射部位
- BI will skip meals if I am not feeling hungry✓ 正解如果不覺得餓就會跳過餐點
- CI will use the same needle for multiple injections to save money✓ 正解為了省錢會重複使用同一支針頭進行多次注射
- DI will check my feet daily for cuts or bruises每天檢查雙腳是否有割傷或瘀青
- EI will increase my carbohydrate intake when my blood sugar is low✓ 正解當血糖偏低時會增加碳水化合物攝取量
— Explanation · 中文詳解 —
糖尿病管理錯誤行為：跳過餐點（B）會導致血糖不穩定；重複使用針頭（C）會導致感染與皮下脂肪增生；低血糖時應補充「快糖」（果汁、葡萄糖），而非單純澱粉類碳水化合物（E），且需注意避免過量導致高血糖反彈。輪替注射部位（A）與每日檢查足部（D）是正確行為。
Efficient time management in clinical settings involves grouping similar tasks to minimize travel, documenting care immediately to prevent errors, and prioritizing based on patient acuity. Delegating appropriate tasks to assistive personnel allows the nurse to focus on complex responsibilities requiring an RN license. Ignoring patient requests is unsafe and constitutes negligence.
✦ 台美臨床差異
美台糖尿病教育內容相似，但美國多有專業衛教師 (CDE) 介入，台灣則多由護理師與營養師協同進行。