# 醫囑開立 insulin lispro 在早餐前給予。餐盤尚未送達。哪一項行動最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396581&lang=zh-tw  
> language: zh-TW  
> subject: Medication Administration  
> category: PPT

## 題目

醫囑開立 insulin lispro 在早餐前給予。餐盤尚未送達。哪一項行動最為適當？

## 選項

1. 現在就給予胰島素，因為速效胰島素作用起始時間長。
2. 暫停當日所有胰島素並通知膳食服務部門。
3. 等到餐盤送達後再給予劑量。 **✔ 正確答案**
4. 給予劑量並指示病人略過早餐。

**正確答案: 3**

## 解析

速效胰島素應與食物攝取配合，以降低低血糖風險。在食物送達前給予可能導致危險的血糖下降。在沒有進一步評估和醫囑的情況下，暫停當日所有胰島素並不適當。

## 深入解析

臨床判斷
利用病人線索、時間點、檢驗數據及安全風險，選擇最符合速效胰島素給藥時機的回應。

記憶提示
將最強的線索群組與最安全的護理判斷配對。

KR vs US
NCLEX 題目獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實務指引
對於速效胰島素給藥時機，將完整的線索模式與病人當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意事項
當完整情境改變了優先順序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **Insulin Lispro** — 一種用於控制餐時血糖的速效胰島素。
- **低血糖** — 血糖濃度過低，可能導致出汗、意識混亂、癲癇發作或意識喪失。
- **用餐時間** — 將給藥與食物攝取時間配合，以促進安全。

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