護理師為長期使用皮質類固醇的病人規劃照護。下列哪些監測措施是合適的？（選所有適合的）
A nurse is planning care for a client receiving long-term corticosteroid therapy. Which monitoring interventions are appropriate? (Select all that apply.)
- AMonitor fasting blood glucose levels✓ 正解監測空腹血糖值
- BAssess for signs of delayed wound healing✓ 正解評估延遲傷口癒合的徵象
- CMonitor for evidence of hypokalemia✓ 正解監測低血鉀的證據
- DWeigh the client daily for fluid retention✓ 正解每日稱重以監測水分滯留
- ECheck stool for occult blood✓ 正解檢查糞便中是否有潛血
長期使用皮質類固醇（Corticosteroids）會對全身多個系統產生影響。其代謝作用會導致血糖升高；免疫抑制作用會延緩組織修復與傷口癒合；電解質方面常引起低血鉀與鈉水滯留；此外，類固醇會增加胃酸分泌並抑制保護性黏液，增加消化性潰瘍與出血風險。因此，護理師需全面監測血糖、生命徵象、電解質、傷口狀態及糞便顏色。
Long-term use of corticosteroids affects multiple body systems. Their metabolic effects lead to elevated blood glucose; their immunosuppressive effects delay tissue repair and wound healing; on the electrolyte side they commonly cause hypokalemia along with sodium and water retention; and they increase gastric acid secretion while suppressing protective mucus, raising the risk of peptic ulcer disease and gastrointestinal bleeding. The nurse therefore needs to monitor blood glucose, vital signs, electrolytes, wound status, and stool color comprehensively.