— 生理適應 · EASY · MCQ —
護理師在照顧重症肌無力病人時，應優先評估哪項結果？
Which assessment finding should the nurse prioritize in a client diagnosed with myasthenia gravis?
- AImpaired respiratory effort✓ 正解呼吸功能受損
- BDysphagia吞嚥困難
- CMuscle weakness in upper extremities上肢肌肉無力
- DPtosis眼瞼下垂
— 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），導致呼吸肌肉癱瘓而出現呼吸困難。護理評估應以呼吸功能為主，確認病人是否有足夠的潮氣容積與氧合能力，這是維繫生命的最關鍵指標。
The most serious complication of myasthenia gravis is myasthenic crisis, in which paralysis of the respiratory muscles causes respiratory distress. Nursing assessment should focus primarily on respiratory function, confirming whether the client has adequate tidal volume and oxygenation capacity, as these are the most critical indicators for sustaining life.
✦ 台美臨床差異
兩地對重症肌無力的評估重點一致，均著重於呼吸型態監測與危象辨識。