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生理適應 · MEDIUM · MCQ

護理師正在照護一位愛迪生氏病(Addison's disease)病人。病人哪項陳述表明其對疾病管理的了解需要進一步教導?

A nurse is caring for a client with Addison's disease. Which client statement indicates a need for further teaching about managing the condition?

  • A"I can stop taking my medication if I feel perfectly healthy."✓ 正解
    「如果我感覺完全健康,我可以停止服藥。」
  • B"I need to increase my steroid dose if I get sick or have surgery."
    「如果我生病或需要手術,我需要增加類固醇劑量。」
  • C"I should avoid activities that may cause significant stress."
    「我應該避免可能引起重大壓力的活動。」
  • D"I should wear a medical alert bracelet."
    「我應該佩戴醫療警報手環。」
Explanation · 中文詳解

愛迪生氏病(Addison's disease)是因為腎上腺皮質激素分泌不足,需要長期補充類固醇治療。病人絕對不能自行停藥,即使感覺良好,因為體內腎上腺無法自行分泌足夠激素,停藥可能引發危及生命的愛迪生氏危機(Addisonian crisis)。教導病人正確的用藥觀念、在壓力或生病時需調整劑量,以及攜帶醫療識別手環,是預防併發症的關鍵衛教內容。

Addison's disease results from insufficient secretion of adrenocortical hormones and requires long-term steroid replacement therapy. The client must never discontinue medication on their own, even when feeling well, because the adrenal glands cannot produce adequate hormones on their own; cessation may precipitate a life-threatening Addisonian crisis. Teaching the client about correct medication use, dose adjustments during stress or illness, and wearing a medical alert bracelet are key educational elements for preventing complications.

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