— 生理適應 · EASY · MCQ —
一位第 1 型糖尿病病人出現低血糖症狀。護理師應首先實施哪項措施?
A client with type 1 diabetes mellitus is experiencing symptoms of hypoglycemia. Which intervention should the nurse implement first?
- AAdminister insulin施打胰島素
- BMonitor blood glucose level✓ 正解監測血糖水平
- CGive 15 grams of a simple carbohydrate給予 15 克簡單碳水化合物
- DNotify the physician通知醫師
— Explanation · 中文詳解 —
低血糖(Hypoglycemia)是糖尿病病人最常見的急性併發症。護理臨床思路遵循「評估優先」原則。在未確認血糖數值前,給予胰島素或隨意補充糖分皆有風險。護理師必須先透過血糖監測(Point-of-care testing)確立診斷,再根據指引給予快速吸收的碳水化合物(如 15g 葡萄糖),並持續監測直到數值穩定。
The nurse should first monitor the blood glucose level to confirm hypoglycemia before implementing any interventions, adhering to the principle of assessment prior to action. Administering insulin would worsen the condition, while notifying the physician or giving carbohydrates should occur only after the low blood sugar level has been verified.