一位心衰竭病人需減輕心臟負擔。護理師的優先事項為何？
A client with heart failure needs to minimize workload. What is the nurse's priority?
- AEncouraging strenuous exercise鼓勵劇烈運動
- BIncreasing oral fluid intake增加口服液體攝取
- CAssisting with activities of daily living (ADLs)✓ 正解協助日常生活活動（ADLs）
- DEncouraging a high-sodium diet鼓勵高鈉飲食
心臟衰竭病人的護理核心在於「能量節省」（Energy Conservation），目的是減輕心肌收縮的作功，降低氧氣消耗。在 NCLEX 考試中，對於心衰竭或急性心肌梗塞病人，護理師應優先協助其進行日常活動（ADLs），以防止病人因過度體力消耗引發心臟缺氧或心臟負荷過重。其他選項皆會增加心臟負擔，屬於錯誤的照護指導。
Nursing care of patients with heart failure centers on energy conservation, with the goal of reducing the workload of myocardial contraction and lowering oxygen consumption. On NCLEX, for patients with heart failure or acute myocardial infarction, the nurse should prioritize assisting the patient with activities of daily living (ADLs) to prevent excessive exertion that could precipitate cardiac ischemia or overload the heart. The other options would all increase cardiac demand and represent incorrect care guidance.