— 降低風險 · MEDIUM · SATA —
病人被診斷為甲狀腺機能亢進。護理師應預期看到哪些臨床表現?(選所有適合的)
A client is diagnosed with hyperthyroidism. Which clinical manifestation should the nurse anticipate? (Select all that apply.)
- ATachycardia✓ 正解心搏過速
- BWeight gain體重增加
- CHeat intolerance✓ 正解不耐熱
- DExophthalmos✓ 正解眼球突出
- EBradycardia心搏過緩
— Explanation · 中文詳解 —
甲狀腺機能亢進(Hyperthyroidism)導致全身代謝率異常升高。交感神經活性增加會引發心搏過速(tachycardia)、心悸與焦慮。代謝亢進使病人產生熱不耐受(heat intolerance)與過度流汗。Graves 病患者常見凸眼(exophthalmos)現象。體重減輕(而非增加)與心跳過速(而非過慢)為典型表現。
Hyperthyroidism causes an abnormal increase in systemic metabolic rate. Increased sympathetic activity produces tachycardia, palpitations, and anxiety. Hypermetabolism causes heat intolerance and excessive sweating. Clients with Graves' disease commonly present with exophthalmos. Weight loss (rather than weight gain) and tachycardia (rather than bradycardia) are typical manifestations.