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照護管理 · HARD · MCQ

一位護理師正在接收入院一位出現酒精戒斷症狀的病人。哪項症狀需要立即介入?

A nurse is admitting a client who is experiencing alcohol withdrawal. Which symptom requires immediate intervention?

  • AAnxiety
    焦慮
  • BHallucinations✓ 正解
    幻覺
  • CTachycardia
    心搏過速
  • DTremors
    震顫
Explanation · 中文詳解

酒精戒斷症候群(AWS)若發展至出現幻覺(Hallucinations),代表病人可能已進入「震顫譫妄」(Delirium Tremens, DTs)的早期階段。DTs 是酒精戒斷中最嚴重的併發症,伴隨極高的死亡率,特徵為意識混亂、幻覺、自律神經失調(高血壓、心跳過快)。這需要立即的藥物介入(如 Benzodiazepines)及密集的神經學監測。

When alcohol withdrawal syndrome (AWS) progresses to hallucinations, the patient may be entering the early phase of delirium tremens (DTs). DTs is the most severe complication of alcohol withdrawal and carries a high mortality rate, characterized by confusion, hallucinations, and autonomic dysregulation (hypertension, tachycardia). It requires immediate pharmacologic intervention (such as benzodiazepines) and intensive neurologic monitoring.

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