— 生理適應 · MEDIUM · MCQ —
護理師正在照護一位新診斷第一型糖尿病的病人。病人哪項陳述表明需要進一步教導？
A nurse is caring for a client with newly diagnosed type 1 diabetes mellitus. Which statement by the client indicates a need for further teaching?
- A"I will take my insulin as prescribed, even if I don't feel sick."我會按照處方服用胰島素，即使我感覺沒有生病。
- B"If I feel my blood sugar is too low, I can eat some candy."✓ 正解如果我感覺血糖太低，我可以吃些糖果。
- C"I need to check my blood sugar before meals and at bedtime."我需要在飯前和睡前檢查血糖。
- D"I should eat a balanced diet and try to keep my carbohydrate intake consistent."我應該均衡飲食，並盡量保持碳水化合物攝取量一致。
— Explanation · 中文詳解 —
第一型糖尿病屬於胰島素依賴型疾病，低血糖處理是病人的關鍵知識之一。低血糖發生時，應攝取「快速作用」的碳水化合物（如 15 克葡萄糖片、果汁或汽水），目的是快速提升血糖。糖果（特別是含脂肪的巧克力或硬糖）吸收速度較慢，且難以精確計算碳水化合物份量，容易造成後續血糖波動。此題需強調正確的處理流程，避免導致血糖控制失靈。
When teaching about a low-fat diet, the nurse should recommend lean protein sources such as skinless chicken breast, which is very low in saturated fat. Whole milk contains significant saturated fat, peanut butter is high in total fat and calories, and while salmon is healthy, it is considered a fatty fish. Selecting skinless poultry helps clients manage cardiovascular health and weight effectively.