— 生理適應 · MEDIUM · MCQ —
重症肌無力 (Myasthenia Gravis) 病人，護理師應最擔心哪種潛在併發症？
A client is diagnosed with Myasthenia Gravis. The nurse should be most concerned about which potential complication?
- ARespiratory failure✓ 正解呼吸衰竭
- BJoint pain and stiffness關節疼痛與僵硬
- CMuscle atrophy肌肉萎縮
- DAbdominal cramping腹部痙攣
— Explanation · 中文詳解 —
重症肌無力最嚴重的併發症是「肌無力危象（Myasthenic Crisis）」，這會累及呼吸肌（橫膈膜和肋間肌），導致急性呼吸衰竭和窒息。護理上必須優先監測呼吸狀態。其他選項如腹痛（D）或肌肉萎縮（C）並非此病的核心致命威脅。
The most serious complication of myasthenia gravis is myasthenic crisis, which involves the respiratory muscles (diaphragm and intercostals) and can lead to acute respiratory failure and asphyxiation. The nursing priority is therefore close monitoring of respiratory status. Other options, such as abdominal pain (D) and muscle atrophy (C), are not the core life-threatening features of this disease.
✦ 台美臨床差異
無差異。兩地教育皆強調 Myasthenic crisis 與 Cholinergic crisis 的鑑別及呼吸道保護。