— 藥理與非經腸給藥 · HARD · MCQ —
一位病人正在接受全靜脈營養（TPN）。哪項護理措施最重要？
A client is receiving total parenteral nutrition (TPN). Which nursing action is most important?
- AWeigh the client daily每日稱量病人體重
- BMaintain the infusion rate strictly嚴格維持輸注速率
- CCheck blood glucose levels every 6 hours✓ 正解每 6 小時檢查血糖水平
- DChange the IV tubing every 24 hours每 24 小時更換靜脈輸液管路
— Explanation · 中文詳解 —
TPN 含有高濃度葡萄糖，易導致血糖波動（高血糖症）。即使病人非糖尿病患，也需定時監測血糖。D 選項中，IV 管路通常每 72-96 小時更換，而非 24 小時。維持流速與體重監測雖重要，但血糖波動影響病人急性代謝安全，故列為優先。
Total parenteral nutrition (TPN) contains high concentrations of glucose, which can cause significant fluctuations in blood sugar levels. Therefore, frequent monitoring of blood glucose is the priority to ensure metabolic safety, even in clients without a history of diabetes.
✦ 台美臨床差異
兩地對 TPN 給藥的感染控制與血糖監測標準一致，皆列為高風險照顧。