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生理適應 · MEDIUM · SATA

護理師評估甲狀腺功能亢進病患時,應觀察到哪些臨床表現?(選所有適合的)

Which assessment findings should a nurse expect for a client with hyperthyroidism? (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

甲狀腺功能亢進(Hyperthyroidism)意指甲狀腺素(T3/T4)過量,導致全身代謝率異常升高。交感神經系統會因此變得極度敏感,引發心搏過速(Tachycardia)、熱不耐受(Heat intolerance)與產熱增加。葛瑞夫茲氏病(Graves' disease)引起的甲狀腺亢進更常見突眼(Exophthalmos)。這些生理變化的核心在於代謝過度加速,與甲狀腺功能低下(Hypothyroidism)的表現完全相反。

Hyperthyroidism refers to excessive thyroid hormone (T3/T4), causing systemic metabolic rate to rise abnormally. The sympathetic nervous system becomes extremely sensitive, producing tachycardia, heat intolerance, and increased heat production. Graves' disease — a common cause of hyperthyroidism — is also frequently associated with exophthalmos. These physiologic changes center on accelerated metabolism and are the opposite of the findings seen in hypothyroidism.

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