— 生理適應 · MEDIUM · SATA —
一位病人診斷為甲狀腺功能亢進(葛瑞夫茲氏病)。護理師應預期出現哪些臨床表現?(選所有適合的)
A client is diagnosed with hyperthyroidism (Graves' disease). Which clinical findings should the nurse expect? (Select all that apply.)
- AWeight gain despite decreased appetite儘管食慾減退卻體重增加
- BHeat intolerance✓ 正解不耐熱
- CBradycardia心搏過緩
- DTachycardia✓ 正解心搏過速
- EExophthalmos✓ 正解眼球突出
— Explanation · 中文詳解 —
甲狀腺功能亢進 (Hyperthyroidism/Graves' disease) 會導致全身代謝速率大幅增加。病人常出現交感神經亢進症狀,如心搏過速、畏熱、體重減輕(即使食慾增加)。眼球突出 (Exophthalmos) 則是葛瑞夫茲氏病特有的自身免疫表徵。護理重點在於監測心血管狀況與維持代謝平衡。
Hyperthyroidism (Graves' disease) markedly increases systemic metabolic rate. Patients typically present with signs of sympathetic hyperactivity, including tachycardia, heat intolerance, and weight loss despite increased appetite. Exophthalmos is a distinctive autoimmune feature of Graves' disease. Nursing priorities include monitoring cardiovascular status and maintaining metabolic balance.