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生理適應 · EASY · SATA

護理師教導病人關於感染的徵兆,應包含哪些內容?(選所有適合的)

A nurse is teaching a client about signs of infection. Which of the following should the nurse include? (Select all that apply.)

  • AFever✓ 正解
    發燒
  • BLocal redness and swelling✓ 正解
    局部紅腫
  • CDrainage from a wound✓ 正解
    傷口分泌物
  • DDecreased white blood cell count
    白血球計數下降
  • EFatigue✓ 正解
    疲倦
Explanation · 中文詳解

感染(Infection)的臨床徵兆反映了身體的發炎反應與免疫系統的啟動。當病原體侵入時,身體會釋放細胞激素(cytokines)導致體溫調節中樞重設引發發燒;局部組織受損則產生紅腫熱痛。白血球(WBC)計數在感染時通常會升高(白血球增多症)以對抗病原,而非下降。疲倦感則是全身性代謝耗能增加的表現。護理師需綜合評估局部與全身反應,以利早期識別敗血症(sepsis)風險。

The clinical signs of infection reflect the body's inflammatory response and immune activation. When a pathogen invades, the body releases cytokines that reset the thermoregulatory set point and produce fever, while damaged local tissues develop redness, swelling, heat, and pain. White blood cell (WBC) count generally rises (leukocytosis) during infection to combat the pathogen rather than falling. Fatigue results from the body's increased metabolic energy expenditure throughout the systemic response. The nurse should evaluate both local and systemic findings in order to recognize the risk of sepsis early.

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