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照護管理 · MEDIUM · SATA

一位護理師正在管理一位新診斷為心臟衰竭的病人。哪些出院指示對預防再入院至關重要?(選所有適合的)

A nurse is managing care for a client with a new diagnosis of heart failure. Which discharge instructions are essential for preventing readmission? (Select all that apply.)

  • AMonitor daily weight at the same time.✓ 正解
    在同一時間測量每日體重
  • BAdhere to fluid restrictions.✓ 正解
    遵守液體限制
  • CTake prescribed diuretics as ordered.✓ 正解
    依處方服用利尿劑
  • DReport any new or worsening cough.✓ 正解
    報告任何新出現或惡化的咳嗽
  • EIncrease intake of high-sodium foods.
    增加高鈉食物的攝取
Explanation · 中文詳解

心臟衰竭(Heart Failure)的出院衛教重點在於「早期偵測液體滯留」,以避免因急性心衰竭惡化而再入院。體重監測是最敏感的指標,每日固定時間量測能反映體液蓄積情形。限水與限鈉能減少心臟負荷,而按時服藥(如利尿劑)則能協助排除多餘水分。任何呼吸道症狀的惡化(如咳嗽)均可能暗示肺水腫,需立即評估。

Discharge teaching for heart failure focuses on the early detection of fluid retention in order to prevent readmission due to acute decompensation. Weight monitoring is the most sensitive indicator; measuring at the same time every day reflects fluid accumulation. Fluid and sodium restrictions reduce cardiac workload, and taking prescribed medications such as diuretics on schedule helps remove excess fluid. Worsening of any respiratory symptom (such as cough) may indicate pulmonary edema and must be evaluated immediately.

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