— 降低風險 · MEDIUM · MCQ —
護理師照護一位預計進行手術的糖尿病病人，下列哪項是優先考慮的重點？
A nurse is caring for a client with diabetes who is scheduled for surgery. What is the priority concern?
- AMonitoring for postoperative nausea監測術後噁心
- BMaintaining stable blood glucose levels✓ 正解維持穩定的血糖濃度
- CEducating the client on postoperative ambulation教育病人關於術後早期下床活動
- DAssessing the client's skin integrity評估病人的皮膚完整性
— Explanation · 中文詳解 —
糖尿病病人術中與術後的代謝穩定是手術成功的關鍵。高血糖狀態會干擾白血球功能，導致傷口癒合延遲並增加術後感染風險；低血糖則會威脅病人的意識狀態與心血管系統。因此，維持血糖在目標範圍（通常為 140-180 mg/dL）是護理師的首要任務。術前護理計畫應包含嚴密的血糖監測與胰島素調整，確保病人代謝穩定以應對手術壓力。
Perioperative stress and hyperglycemia can impair leukocyte function, delay wound healing, and increase infection risk, while hypoglycemia threatens neurological and cardiovascular stability. Therefore, maintaining stable blood glucose levels within the target range (typically 140-180 mg/dL) is the nurse's priority to ensure metabolic stability and optimize surgical outcomes.