— 生理適應 · MEDIUM · SATA —
護理師應預期甲狀腺功能亢進患者出現哪些臨床表現？（選所有適合的）
Which clinical manifestations should the nurse expect in a client with hyperthyroidism? (Select all that apply.)
- ATachycardia✓ 正解心跳過速
- BWeight gain體重增加
- CHeat intolerance✓ 正解不耐熱
- DDiaphoresis✓ 正解盜汗
- EExophthalmos✓ 正解眼球突出
— Explanation · 中文詳解 —
甲狀腺素過多會加速代謝率。臨床表現包括：心跳過快（Tachycardia）、代謝亢進產熱導致怕熱（Heat intolerance）、多汗（Diaphoresis）、體重減輕（非增加）、以及葛瑞夫茲氏病常見的眼球突出（Exophthalmos）。B 選項體重減輕才是亢進之特徵，體重增加通常見於甲狀腺功能低下。
Excess thyroid hormone accelerates metabolic rate. Clinical manifestations include tachycardia, heat intolerance from increased metabolic heat production, diaphoresis, weight loss (not gain), and exophthalmos commonly seen in Graves' disease. Option B is incorrect: weight loss is characteristic of hyperthyroidism, whereas weight gain is typically seen in hypothyroidism.
✦ 台美臨床差異
兩地對甲亢病人的衛教重點相似，皆強調飲食攝取高熱量與監測代謝狀態。