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生理適應 · MEDIUM · SATA

護理師評估一位周邊動脈疾病(PAD)的病人,預期會發現下列哪些狀況?(選所有適合的)

A nurse is performing an assessment on a client with peripheral artery disease (PAD). Which findings are expected? (Select all that apply.)

  • AIntermittent claudication✓ 正解
    間歇性跛行
  • BThick, brittle nails✓ 正解
    指甲增厚、易碎
  • CWarm, flushed extremities
    四肢溫暖、潮紅
  • DLoss of hair on the lower extremities✓ 正解
    下肢脫毛
  • EEdema in the ankles
    踝部水腫
Explanation · 中文詳解

周邊動脈疾病(PAD)的病理基礎是動脈粥狀硬化導致血管狹窄、灌流不足。臨床表現包括:運動時因缺氧導致的肌肉疼痛(間歇性跛行);皮膚因長期缺氧變得乾燥、脫毛、趾甲變厚且脆弱;觸診時肢體溫度偏低、脈搏減弱。水腫通常是靜脈回流障礙(如 PVD)的特徵,而非動脈缺血的直接表現。潮紅則是發炎或血管擴張的徵象,與動脈閉塞造成的蒼白或發紺相反。

The pathologic basis of peripheral arterial disease (PAD) is atherosclerosis that narrows arteries and impairs perfusion. Clinical findings include muscle pain on exertion due to ischemia (intermittent claudication); dry, hairless skin with thickened, brittle nails from chronic hypoxia; and cool limbs with diminished pulses on palpation. Edema is characteristic of impaired venous return (such as PVD), not of arterial ischemia. Flushing is a sign of inflammation or vasodilation, opposite to the pallor or cyanosis caused by arterial occlusion.

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