護理師正給予常規胰島素（regular insulin）的靜脈輸注。病人的血糖值為 250 mg/dL。最恰當的護理措施為何？
A nurse is administering an IV infusion of regular insulin. The client's blood glucose level is 250 mg/dL. Which nursing action is most appropriate?
- ADecrease the infusion rate.減慢輸注速率
- BCheck the client's potassium level.檢查病人的鉀離子水平
- CContinue the infusion at the current rate.✓ 正解以目前速率繼續輸注
- DAdminister a subcutaneous injection of insulin glargine.給予地特胰島素 (insulin glargine) 皮下注射
靜脈輸注胰島素是用於快速控制高血糖的標準手段。當病人血糖為 250 mg/dL 時，屬於治療範圍內的高血糖值，而非低血糖或嚴重高血糖危象，因此應維持當前輸注速率。護理師需依據醫囑的胰島素輸注協議（Insulin infusion protocol）進行監測，調整劑量必須基於嚴格的血糖數值標準，不可擅自調整。
Therapeutic communication involves using open-ended questions to encourage the client to express feelings, such as asking, 'Tell me more about what you are feeling right now.' This approach validates the client's emotions and facilitates exploration of hopelessness. Responses offering false reassurance, minimizing feelings, or changing the subject are nontherapeutic as they block communication and invalidate the client's experience.
美國臨床常使用「胰島素滴注協議」（Insulin gtt protocol），護理師擁有依協議調整速率的執業權（Scope of practice），台灣則較多由醫師直接開立調整醫囑。