— 生理適應 · MEDIUM · SATA —
護理師照護一位 SIADH 病人，哪些措施是適當的？（選所有適合的）
A nurse is managing a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which interventions are appropriate? (Select all that apply.)
- ARestrict fluid intake✓ 正解限制水分攝取
- BAdminister hypertonic saline IV✓ 正解靜脈注射高張鹽水
- CMonitor for weight gain✓ 正解監測體重增加
- DEncourage high-sodium diet鼓勵高鈉飲食
- EKeep the client in a high Fowler's position讓個案保持高福勒氏體位
— Explanation · 中文詳解 —
SIADH 是抗利尿激素分泌過多導致水分滯留與稀釋性低鈉血症。處理重點為限制水分（防止稀釋加劇）、給予高張鹽水（改善低鈉血症引起的腦水腫）、監測體重（水分滯留指標）。高鹽飲食（D）並非治療核心，體位要求無特殊限制。
SIADH is excessive secretion of antidiuretic hormone leading to water retention and dilutional hyponatremia. Management focuses on fluid restriction (to prevent worsening dilution), administration of hypertonic saline (to correct cerebral edema caused by hyponatremia), and monitoring body weight (an indicator of fluid retention). A high-sodium diet (D) is not central to therapy, and there is no special restriction on positioning.
✦ 台美臨床差異
美國護理師常需在調整輸液速度上更具主動性，台灣多依照醫囑執行。