— 基本照護與舒適 · HARD · SATA —
哪些評估發現顯示病人出現體液容量不足？（選所有適合的）
Which assessment findings indicate that a client is experiencing fluid volume deficit? (Select all that apply.)
- ATachycardia✓ 正解心搏過速
- BWeak, thready pulse✓ 正解微弱、細弦狀脈搏
- CIncreased urine output尿量增加
- DPoor skin turgor✓ 正解皮膚彈性差
- EHypotension✓ 正解低血壓
— Explanation · 中文詳解 —
體液容量不足的臨床徵兆包括因代償作用導致的心搏過速（Tachycardia）、周邊灌流不足引起的弱而細脈搏（Weak pulse）、皮膚彈性變差（Poor skin turgor）以及因循環血量降低導致的低血壓。尿量減少（而非增加）才是體液不足的典型表現，因身體會試圖保存水分。
Clinical signs of fluid volume deficit include tachycardia due to compensatory mechanism, a weak and thready pulse due to inadequate peripheral perfusion, poor skin turgor, and hypotension due to reduced circulating blood volume. Decreased (rather than increased) urine output is the typical manifestation of fluid deficit, as the body attempts to conserve water.
✦ 台美臨床差異
美台對脫水臨床診斷標準一致。