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藥理與非經腸給藥 · HARD · SATA

一位接受全靜脈營養 (PN) 的病人,下列哪些發現代表發生了併發症?(選所有適合的)

A nurse is caring for a client receiving parenteral nutrition (PN). Which findings indicate a complication? (Select all that apply.)

  • ABlood glucose level of 210 mg/dL✓ 正解
    血糖水平為 210 mg/dL
  • BWeight gain of 0.5 kg in 24 hours✓ 正解
    24 小時內體重增加 0.5 kg
  • CClear urine output of 1500 mL in 24 hours
    24 小時內清澈尿液排出量為 1500 mL
  • DTemperature of 38.6°C✓ 正解
    體溫 38.6°C
  • ESerum potassium level of 3.2 mEq/L✓ 正解
    血清鉀離子濃度為 3.2 mEq/L
Explanation · 中文詳解

全靜脈營養(PN)提供高滲透壓營養,常見併發症包括高血糖(胰島素需求變動)、體液過載(快速增重)、導管相關血流感染(發燒)以及電解質失衡(如低血鉀)。尿量 1500 mL 屬正常範疇,非併發症。護理師應嚴密監測血糖、體重、溫度與電解質數據,及早發現異常狀況並通知醫師處理,以確保 PN 治療的安全與療效。

Parenteral nutrition (PN) delivers a hypertonic nutrient solution, and common complications include hyperglycemia (fluctuating insulin requirements), fluid overload (rapid weight gain), catheter-related bloodstream infection (fever), and electrolyte imbalances (such as hypokalemia). A urine output of 1,500 mL is within the normal range and is not a complication. The nurse should closely monitor blood glucose, weight, temperature, and electrolyte data to detect abnormalities early and notify the physician for management, thereby ensuring the safety and efficacy of PN therapy.

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