# 一位住院病人的血糖為118 mg/dL，且醫囑在早餐前給予速效胰島素。給藥前，護理師應採取哪項措施？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393723&lang=zh-tw  
> language: zh-TW  
> subject: NCLEX-RN  
> category: PPT

## 題目

一位住院病人的血糖為118 mg/dL，且醫囑在早餐前給予速效胰島素。給藥前，護理師應採取哪項措施？

## 選項

1. 給胰島素並延後早餐 1 小時。
2. 將 rapid-acting insulin 與 long-acting insulin 混合。
3. 只有血糖高於 200 mg/dL 才給胰島素。
4. 確認早餐餐盤已可取得。 **✔ 正確答案**

**正確答案: 4**

## 解析

速效胰島素開始作用迅速，應與進食配合以減少低血糖風險。給藥前，護理師應確認餐食已備妥。給胰島素後才延遲供餐或與長效胰島素混合，均不安全；任意設定血糖閾值也不能取代醫囑及機構規範。

## 深入解析

臨床判斷
給藥時間必須與起效時間和餐食可用性配合。

記憶重點
快速胰島素需要快速食物。

## 臨床情境

實務指引
Rapid-acting insulin 因起效快，需接近餐食時間給予。安全給藥包括確認胰島素時間與營養可用性。

注意
務必確認胰島素種類、劑量、血糖值與用餐狀態。

## 重要概念

- **Rapid-acting insulin** — 用於餐食覆蓋或矯正高血糖的快速起效胰島素，需注意用餐時間。
- **低血糖** — 胰島素作用未與碳水化合物攝取配合時可能發生的低血糖。
- **給藥** — 依正確個案、藥物、劑量、途徑、時間與評估安全給予藥物的過程。

## 相同主題題目

- [A patient with severe contamination obsessive-compulsive disorder is starting exposure and…](https://mymerci.kr/pages/nclex_q.php?qn_id=372864&lang=zh-tw)
- [A nurse is providing HPV vaccine education to the parent of an 11-year-old at a routine we…](https://mymerci.kr/pages/nclex_q.php?qn_id=372865&lang=zh-tw)
- [An 82-year-old patient with moderate Alzheimer dementia becomes increasingly agitated, res…](https://mymerci.kr/pages/nclex_q.php?qn_id=372904&lang=zh-tw)
- [An adult patient has been seizing continuously for 6 minutes. The provider asks the nurse …](https://mymerci.kr/pages/nclex_q.php?qn_id=373126&lang=zh-tw)
- [Four patients arrive in the ED. Which patient presentation indicates a hypertensive EMERGE…](https://mymerci.kr/pages/nclex_q.php?qn_id=373127&lang=zh-tw)
- [A patient has a serum potassium of 2.8 mEq/L and a new order for IV potassium chloride 40 …](https://mymerci.kr/pages/nclex_q.php?qn_id=373128&lang=zh-tw)
- [A patient on chronic phenytoin for seizure disorder reports new diplopia and unsteady gait…](https://mymerci.kr/pages/nclex_q.php?qn_id=373129&lang=zh-tw)
- [The night-shift nurse receives a telephone order from the on-call provider for "morphine 4…](https://mymerci.kr/pages/nclex_q.php?qn_id=373130&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=393723&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=393723&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=393723&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=393723&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=393723&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_