護理師執行健康篩檢,哪位個案的結果需要立即後續追蹤?
A nurse is performing a health screening. Which client requires immediate follow-up based on their findings?
- AA client with a fasting blood glucose of 95 mg/dL空腹血糖為 95 mg/dL 的個案
- BA client with an LDL cholesterol of 105 mg/dL低密度脂蛋白膽固醇(LDL)為 105 mg/dL 的個案
- CA client with a blood pressure of 160/98 mmHg✓ 正解血壓為 160/98 mmHg 的個案
- DA client with a BMI of 24身體質量指數(BMI)為 24 的個案
健康篩檢的目的是早期發現潛在疾病。血壓 160/98 mmHg 屬於第二期高血壓(Stage 2 Hypertension),該數值不僅顯示長期高血壓風險,更可能引發急性心血管事件(如中風或心肌梗塞)。這屬於緊急且需要醫療後續追蹤的狀況,護理師必須立刻安排個案就醫,以進行藥物評估與病況管控。其餘選項皆在正常或輕度異常範圍內,不具立即危險性。
The purpose of health screening is the early detection of underlying disease. A blood pressure of 160/98 mmHg represents Stage 2 hypertension. This value not only reflects the long-term risk of hypertension but may also precipitate acute cardiovascular events (such as stroke or myocardial infarction). This is an urgent condition requiring medical follow-up, and the nurse must arrange for the client to seek medical care immediately for medication evaluation and disease management. The other options fall within normal or only mildly abnormal ranges and do not pose immediate danger.