護理師正在照護一位甲狀腺功能亢進病人。哪項評估發現提示可能發生甲狀腺風暴（thyroid storm）的併發症？
A nurse is caring for a client with hyperthyroidism. Which assessment finding suggests a potential complication of thyroid storm?
- AMild tremors輕微顫抖
- BClient reports experiencing palpitations病人主訴心悸
- CHeart rate of 110 bpm心率 110 bpm
- DTemperature of 38.5°C (101.3°F)✓ 正解體溫 38.5°C (101.3°F)
甲狀腺風暴是甲狀腺功能亢進最嚴重的急性併發症，其特徵是極度高代謝狀態，包括高燒（>38.5°C）、心搏過速（>140 bpm）、心律不整、意識改變、噁心嘔吐、腹瀉等。心率 110 bpm、輕微顫抖、心悸都是甲亢的常見症狀，但顯著發燒是風暴的關鍵警訊，提示需要立即處理。
Thyroid storm is the most severe acute complication of hyperthyroidism. It is characterized by an extreme hypermetabolic state, including high fever (greater than 38.5 degrees C), tachycardia (greater than 140 bpm), dysrhythmias, altered mental status, nausea, vomiting, and diarrhea. A heart rate of 110 bpm, mild tremors, and palpitations are common findings in hyperthyroidism, but a marked fever is the key warning sign of thyroid storm and demands immediate intervention.
美國的內分泌科急診處置指引對甲狀腺風暴有詳細的藥物治療方案；台灣的急診也遵循類似原則，但早期辨識和快速給予支持性治療非常重要。