— 生理適應 · MEDIUM · MCQ —
護理師照護甲狀腺機能亢進病人時，何者為必要的護理措施？
Which nursing action is essential when caring for a client with hyperthyroidism?
- ARestrict fluid intake限制水分攝取
- BProvide a warm environment提供溫暖的環境
- CIncrease calorie intake✓ 正解增加熱量攝取
- DEncourage moderate exercise鼓勵適度運動
— Explanation · 中文詳解 —
甲狀腺機能亢進使身體代謝率大幅上升，病人極易出現體重下降與營養不足，故需提供高熱量、高蛋白飲食以維持代謝需求。環境應保持涼爽而非溫暖；運動應限制以減輕心臟負荷；並非限制水分，反需補充水分防止因代謝快而導致的脫水。
Hyperthyroidism markedly raises the body's metabolic rate, putting the patient at high risk for weight loss and inadequate nutrition; therefore, a high-calorie, high-protein diet is needed to meet metabolic demands. The environment should be kept cool rather than warm; exercise should be limited to reduce cardiac workload; and fluid intake should be increased rather than restricted, as the rapid metabolism leads to dehydration.
✦ 台美臨床差異
美國在甲狀腺風暴的監測標準較為嚴格，強調護理師對神經與心臟症狀的即時評估與介入。