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生理適應 · EASY · MCQ

一位嚴重脫水的病人正接受靜脈輸液。哪項發現表示病人正在改善?

A client with severe dehydration is receiving intravenous fluids. Which finding indicates that the client is improving?

  • AIncreased thirst
    口渴感增加
  • BIncreased heart rate
    心跳速率增加
  • CDecreased urine output
    尿液排出量減少
  • DImproved skin turgor✓ 正解
    皮膚彈性改善
Explanation · 中文詳解

嚴重脫水(Severe Dehydration)時,細胞外液流失會導致組織彈性變差。當病人接受靜脈輸液治療,血管內與細胞間液體獲得補充,皮膚張力(Skin Turgor)會隨之改善,恢復正常的彈性。這是臨床評估脫水程度改善的直觀指標。配合尿量增加、口渴感消失與心跳恢復正常,能明確判斷病人的水電解質狀態已趨於穩定。

In severe dehydration, extracellular fluid loss reduces tissue elasticity. When the client receives intravenous fluid therapy and the intravascular and interstitial compartments are replenished, skin turgor improves and normal elasticity is restored. This is a direct clinical indicator that the degree of dehydration is improving. Combined with increased urine output, resolution of thirst, and return of the heart rate to normal, this clearly demonstrates that the client's fluid and electrolyte status is stabilizing.

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