— 照護管理 · MEDIUM · MCQ —
護理師照護一位新診斷為第一型糖尿病的病人，病人說出下列哪句話表示理解胰島素治療？
A nurse is managing a client with newly diagnosed type 1 diabetes. Which client statement indicates understanding of insulin therapy?
- A"I will store my insulin vials at room temperature indefinitely."「我會將胰島素瓶永久存放在室溫下。」
- B"I can skip my evening insulin if I don't eat dinner."「如果我不吃晚餐，我可以跳過晚上的胰島素劑量。」
- C"I only need to take insulin when my blood sugar is high."「只有當我的血糖偏高時，我才需要注射胰島素。」
- D"I should rotate injection sites to prevent lipodystrophy."✓ 正解「我應該輪替注射部位，以預防脂肪萎縮。」
— Explanation · 中文詳解 —
第一型糖尿病病人的胰島素治療是終身的，且必須規律執行。胰島素注射部位需定期輪替，以防止皮下脂肪萎縮或增生（Lipodystrophy），確保藥物吸收穩定。第一型糖尿病病人不能隨意增減或省略胰島素，因為體內完全缺乏內源性胰島素，隨意省略會導致高血糖甚至酮酸中毒。儲存胰島素需依說明書，不可室溫無限期放置。
Type 1 diabetes requires lifelong, regular insulin therapy because the body produces no endogenous insulin. Rotating injection sites prevents lipodystrophy and ensures stable drug absorption. Skipping doses or relying solely on correction for high blood sugar is dangerous and can lead to ketoacidosis. Insulin storage also requires adherence to guidelines, as unopened vials must be refrigerated and opened vials cannot be stored at room temperature indefinitely.