— 藥理與非經腸給藥 · EASY · SATA —
護理師指導病人自我注射皮下胰島素。病人採取哪些行動顯示其正確理解？（選所有適合的）
A nurse is teaching a client about self-administration of subcutaneous insulin. Which actions by the client demonstrate correct understanding? (Select all that apply.)
- ARotate injection sites within the same anatomical area✓ 正解在同一解剖區域內輪替注射部位
- BMassage the injection site vigorously after administration注射後用力按摩注射部位
- CWash hands thoroughly before preparing the dose✓ 正解準備劑量前徹底洗手
- DPinch the skin fold if using a short needle to ensure subcutaneous delivery✓ 正解使用短針時捏起皮膚摺皺以確保皮下給藥
- EStore the current insulin vial at room temperature✓ 正解將現用胰島素瓶存放於室溫
— Explanation · 中文詳解 —
胰島素注射需注意部位輪替以預防脂肪增生。洗手為無菌原則，對於短針頭，捏起皮膚層可避免誤打入肌肉。胰島素開封後於室溫保存可減少注射時的疼痛感。B 選項錯誤：劇烈按摩會導致胰島素吸收過快，造成血糖不穩定。
Correct insulin administration involves rotating injection sites to prevent lipodystrophy, washing hands for hygiene, pinching the skin to ensure subcutaneous delivery, and storing open vials at room temperature to reduce injection pain. Vigorous massage should be avoided as it accelerates absorption and increases the risk of hypoglycemia.
✦ 台美臨床差異
台灣較強調護理師執教時的衛教手冊使用；美國則更注重病人回覆示教（Return Demonstration）的精確度紀錄。