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健康促進與維護 · MEDIUM · SATA

護理師應將哪些介入措施納入高血壓病人的照護計畫,以促進健康並預防併發症?(選所有適合的)

Which of the following interventions should a nurse include in the plan of care for a client with a history of hypertension to promote health and prevent complications? (Select all that apply.)

  • AEngage in moderate-intensity aerobic exercise 150 minutes per week✓ 正解
    每週進行150分鐘中等強度有氧運動
  • BLimit alcohol consumption to no more than one drink per day for women✓ 正解
    限制酒精攝取,女性每日不超過一杯
  • CMaintain a DASH eating plan rich in fruits, vegetables, and low-fat dairy✓ 正解
    維持富含水果、蔬菜和低脂乳製品的DASH飲食計畫
  • DRestrict potassium intake to prevent hyperkalemia
    限制鉀攝取以防止高血鉀
  • ETarget a systolic blood pressure goal of less than 130 mmHg✓ 正解
    收縮壓目標低於130 mmHg
Explanation · 中文詳解

高血壓管理強調生活型態調整,DASH 飲食(富含蔬果、低脂乳製品、低飽和脂肪)已被證實能有效降低血壓。規律運動(每週 150 分鐘中強度有氧)有助於改善血管彈性。限酒與嚴格控制血壓目標(收縮壓 < 130 mmHg)是目前美國心臟協會(AHA)的主流指引。鉀離子攝取對降壓有正面助益,除非病人有腎功能不全,否則不建議限制。

Hypertension management emphasizes lifestyle modification. The DASH diet (rich in fruits, vegetables, low-fat dairy, and low in saturated fat) has been shown to effectively lower blood pressure. Regular exercise (150 minutes of moderate-intensity aerobic activity per week) helps improve vascular elasticity. Alcohol restriction and tight blood pressure control (systolic BP <130 mmHg) are aligned with current American Heart Association (AHA) guidelines. Potassium intake has a positive effect on blood pressure reduction and should not be restricted unless the client has renal insufficiency.

✦ 台美臨床差異

美國高血壓指引對於收縮壓的控制標準(<130 mmHg)較為嚴格,與台灣目前臨床常規目標(<140/90 mmHg)略有差異,應以 NCLEX 考試中美國現行指引為準。

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