葛瑞夫茲氏病 (Graves' disease) 病人預期會出現哪種評估發現?
Which assessment finding is expected in a client with Graves' disease?
- AExophthalmos✓ 正解眼球突出
- BWeight gain體重增加
- CBradycardia心搏過緩
- DCold intolerance畏寒
葛瑞夫茲氏病 (Graves' disease) 是一種常見的自體免疫性甲狀腺機能亢進 (hyperthyroidism),其特徵是甲狀腺過度活躍,產生過量的甲狀腺激素。這些激素會加速身體的新陳代謝,影響多個器官系統。除了全身性症狀外,葛瑞夫茲氏病還可能引起一些特有的眼部和皮膚表現。護理師需熟悉這些典型的臨床表現,以便在評估病人時提供準確的護理診斷和照護。
Graves' disease is a common autoimmune cause of hyperthyroidism characterized by an overactive thyroid that produces excess thyroid hormone. The excess hormone accelerates metabolism and affects multiple organ systems. In addition to systemic symptoms, Graves' disease has distinctive eye and skin manifestations. The nurse must recognize these classic findings to provide accurate nursing diagnosis and care.
葛瑞夫茲氏病的評估與護理在台灣和美國的臨床實踐中是相似的。兩地護理師都需監測甲狀腺機能亢進的症狀,包括心率、體重、情緒變化和突眼等。在美國,護理師在病人衛教方面可能扮演更主動的角色,提供關於疾病管理、藥物依從性和眼部護理的詳細指導。台灣的護理師也提供衛教,但衛教內容的廣度和深度可能因醫院政策和護理師個人經驗而異。