下列哪些護理措施適合甲狀腺機能亢進的病人?(選所有適合的)
Which interventions are appropriate for a client with hyperthyroidism? (Select all that apply.)
- AProvide a high-calorie, high-protein diet✓ 正解提供高熱量、高蛋白飲食
- BKeep the room temperature cool✓ 正解保持房間溫度涼爽
- CLimit visitors to reduce sensory overload✓ 正解限制訪客數量以減少感官過載
- DEncourage vigorous exercise to burn energy鼓勵劇烈運動以消耗能量
- EMonitor for cardiac arrhythmias✓ 正解監測心律不整
甲狀腺機能亢進(Hyperthyroidism)導致全身代謝率顯著升高,個體處於高消耗狀態。護理目標在於提供足夠的營養補充、降低環境刺激以減輕交感神經亢進症狀,並監測心血管併發症。高代謝狀態會導致心肌興奮性增加,因此監測心律不整是預防致命性心血管事件的重要措施。護理思路應遵循支持性照護,減少任何可能誘發甲狀腺風暴(Thyroid storm)的因素。
Hyperthyroidism causes a marked increase in systemic metabolic rate, placing the individual in a hypercatabolic state. Nursing goals are to provide adequate nutritional supplementation, reduce environmental stimuli to ease symptoms of sympathetic overactivity, and monitor for cardiovascular complications. The hypermetabolic state increases myocardial excitability, so monitoring for arrhythmias is an important measure to prevent fatal cardiovascular events. Nursing reasoning should follow a supportive-care approach and minimize any factors that might precipitate thyroid storm.