— 生理適應 · MEDIUM · MCQ —
護理師照護一位甲狀腺機能低下病人,預期會發現哪項表現?
A nurse is caring for a client with a history of hypothyroidism. Which finding is expected?
- AIncreased appetite食慾增加
- BCold intolerance✓ 正解畏寒
- CTachycardia心跳過速
- DWeight loss體重減輕
— Explanation · 中文詳解 —
甲狀腺機能低下(Hypothyroidism)導致全身代謝率下降,臨床表現以「低代謝」為特徵。常見症狀包括畏寒(因產熱減少)、體重增加(因代謝變慢)、便秘(因腸蠕動減慢)、嗜睡、皮膚乾燥及心跳過慢(Bradycardia)。選項B(畏寒)是此病最典型的生理反應。其餘選項如體重減輕、心跳過快、食慾增加均為甲狀腺機能亢進(Hyperthyroidism)的臨床表徵。
Hypothyroidism produces a generalized hypometabolic state. Findings include cold intolerance (reduced heat production), weight gain, constipation, lethargy, dry skin, and bradycardia. Weight loss, tachycardia, and increased appetite are typical of hyperthyroidism, not hypothyroidism.