— 基本照護與舒適 · EASY · MCQ —
水分攝取足夠的病人，哪項是預期的評估結果？
Which of the following is an expected finding in a client with adequate hydration?
- AElastic skin turgor✓ 正解皮膚彈性良好
- BDecreased urine output尿量減少
- CSunken eyeballs眼球凹陷
- DDark yellow urine深黃色尿液
— Explanation · 中文詳解 —
水分狀態評估需觀察全身性指標。皮膚彈性（Skin turgor）是評估脫水程度的經典指標，若按壓後能迅速回彈，代表水分充足。其他選項皆為脫水的警訊：尿液深黃代表濃縮，尿量減少代表腎臟灌流不足或水分保留，凹陷眼球則是嚴重脫水的徵象。臨床照護時，護理師應同時檢查口腔黏膜濕度與意識狀態，以全面判斷病人的水分平衡狀況。
Adequate hydration produces elastic skin turgor (skin returns immediately when pinched), moist mucous membranes, adequate urine output, and pale yellow urine. Dark concentrated urine, decreased urine output, and sunken eyeballs are signs of dehydration. The full hydration assessment also includes mental status and capillary refill.