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生理適應 · EASY · MCQ

一位慢性腎臟病病人血鉀值為 6.2 mEq/L。護理師應指導病人避免攝取下列哪種食物?

A client with chronic kidney disease (CKD) has a serum potassium level of 6.2 mEq/L. Which food should the nurse instruct the client to avoid?

  • AWhite rice
    白米飯
  • BCranberry juice
    蔓越莓汁
  • CBananas✓ 正解
    香蕉
  • DApples
    蘋果
Explanation · 中文詳解

慢性腎臟病(Chronic Kidney Disease, CKD)病人因腎絲球過濾率下降,無法有效排出鉀離子,極易產生高血鉀(Hyperkalemia)。血鉀值 6.2 mEq/L 屬於危險範圍,可能導致致命的心律不整(Arrhythmias)。護理原則為限制高鉀食物攝取,香蕉為典型的高鉀水果,必須避免。臨床思路應優先評估心電圖(ECG)變化,並監測血鉀水平。

Patients with chronic kidney disease (CKD) have a decreased glomerular filtration rate and cannot effectively excrete potassium ions, easily leading to hyperkalemia. A potassium level of 6.2 mEq/L is in the dangerous range and may cause fatal arrhythmias. The nursing principle is to restrict the intake of high-potassium foods; bananas are a classic high-potassium fruit and must be avoided. Clinical reasoning should prioritize evaluating ECG changes and monitoring potassium levels.

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