一名病人被診斷為代謝症候群。下列哪些發現可能存在?(選所有適合的)
A client is diagnosed with metabolic syndrome. Which of the following findings are likely present? (Select all that apply.)
- ABlood pressure 145/90 mmHg✓ 正解血壓 145/90 mmHg
- BWaist circumference 42 inches (106 cm) in a male✓ 正解男性腰圍 42 英吋(106 cm)
- CFasting blood glucose 80 mg/dL空腹血糖 80 mg/dL
- DHigh-density lipoprotein (HDL) 30 mg/dL✓ 正解高密度脂蛋白(HDL)30 mg/dL
- ETriglycerides 180 mg/dL✓ 正解三酸甘油酯 180 mg/dL
代謝症候群(Metabolic syndrome)是一組與心血管疾病和第二型糖尿病風險增加相關的臨床症狀和實驗室異常的集合。它不是一種單一疾病,而是多種代謝危險因子同時存在的情況。護理師理解代謝症候群的診斷標準,對於早期篩檢、評估病人風險、並提供生活方式指導或藥物治療建議至關重要。這有助於預防更嚴重慢性疾病的發生。 本題旨在評估護理師對於代謝症候群核心診斷標準的掌握程度。
Metabolic syndrome is a cluster of clinical findings and laboratory abnormalities associated with increased risk of cardiovascular disease and type 2 diabetes. It is not a single disease but a coexistence of multiple metabolic risk factors. It is essential for nurses to understand the diagnostic criteria for metabolic syndrome in order to perform early screening, evaluate patient risk, and provide lifestyle counseling or pharmacologic recommendations. This is critical for preventing more serious chronic diseases. This question evaluates the nurse's mastery of the core diagnostic criteria for metabolic syndrome.
代謝症候群的診斷標準在國際上有多個版本(如NCEP ATP III、IDF),但核心組件大致相同。美國和台灣的臨床實務均採用相似的標準來診斷。雖然腰圍的亞洲人種切點可能略有不同,但本題提供的數值在任何主要標準下都符合高風險。護理師對這些數值的理解是跨國界一致的。