— 心理社會完整性 · HARD · MCQ —
護理師照護一位厭食症病人時,促進生理健康最關鍵的措施為何?
A nurse is caring for a client with anorexia nervosa. Which nursing intervention is most important for promoting physical health?
- AMonitor vital signs and electrolyte levels closely✓ 正解密切監測生命徵象與電解質濃度
- BProvide high-calorie food whenever the client asks在病人要求時提供高熱量食物
- CEncourage the client to talk about their body image鼓勵病人談論其身體意象
- DRestrict all physical activity until weight gain is achieved在體重增加前限制所有體力活動
— Explanation · 中文詳解 —
厭食症(Anorexia Nervosa)病人的生理風險極高,特別是因長期營養不良導致的電解質不平衡(如低鉀血症),容易誘發致命性的心律不整。因此,在護理照護中,生理指標的監測(生命徵象、血清電解質)是確保病人安全與存活的首要任務,這屬於生理完整性(Physiological Integrity)的範疇。
Clients with anorexia nervosa face very high physiologic risks, particularly electrolyte imbalances from prolonged malnutrition (such as hypokalemia), which can precipitate life-threatening cardiac arrhythmias. Therefore, in nursing care, monitoring physiologic indicators (vital signs and serum electrolytes) is the priority for ensuring patient safety and survival; this falls within the domain of physiological integrity.