— 生理適應 · HARD · MCQ —
護理師照護一位甲狀腺機能亢進（Graves' 病）病人，哪項評估發現最需回報？
A nurse is caring for a client with hyperthyroidism (Graves' disease). Which assessment finding is most important to report?
- AFine tremors細微顫抖
- BWeight loss體重減輕
- CIncreased appetite食慾增加
- DTachycardia✓ 正解心跳過速
— Explanation · 中文詳解 —
甲狀腺機能亢進最危險的併發症為甲狀腺風暴（Thyroid Storm）。心跳過快（Tachycardia）是過量甲狀腺素對心血管刺激的危急徵象，若進展至心律不整或心衰竭將有致命風險，因此需優先回報監測。
The most dangerous complication of hyperthyroidism is thyroid storm. Tachycardia is an emergent sign of cardiovascular stimulation by excess thyroid hormone; if it progresses to dysrhythmia or heart failure, it carries a risk of death, and therefore it must be reported and monitored as the top priority.
✦ 台美臨床差異
美國醫院有針對甲狀腺風暴的緊急護理指引，台灣護理師亦需警覺此症狀，並於發現心跳異常時立即聯絡醫師。