護理師照顧甲狀腺功能亢進病人,應執行哪些環境調整措施?(選所有適合的)
A nurse is caring for a client with hyperthyroidism. Which environmental modifications should the nurse implement? (Select all that apply.)
- AMaintain a cool room temperature✓ 正解維持涼爽的室溫
- BMinimize sensory stimuli✓ 正解最小化感官刺激
- CIncrease lighting to prevent falls增加照明以預防跌倒
- DProvide a calm and quiet environment✓ 正解提供安靜平和的環境
- EEncourage frequent physical exercise鼓勵頻繁進行體育運動
甲狀腺機能亢進病人因代謝率增加,會有怕熱(Heat intolerance)、交感神經亢進(心搏過速、焦慮)、體重減輕等症狀。環境調整需滿足舒適度與減少刺激。提供涼爽環境(Cool room temperature)、減少感覺刺激(Minimize stimuli)如強光或噪音,並提供安靜、祥和的環境,有助於降低病人焦慮程度與交感神經興奮,避免發生甲狀腺風暴(Thyroid storm)。
Clients with hyperthyroidism have an increased metabolic rate and exhibit heat intolerance, sympathetic overactivity (tachycardia, anxiety), and weight loss. Environmental modifications should address comfort and reduce stimulation. Providing a cool room temperature and minimizing sensory stimuli such as bright lights or noise, along with a quiet, calm environment, help reduce anxiety and sympathetic stimulation and prevent thyroid storm.