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生理適應 · MEDIUM · MCQ

護理師教育一位新診斷青光眼病人,病人哪句話表示理解病情?

A nurse is educating a client newly diagnosed with glaucoma. Which statement by the client indicates understanding of the condition?

  • A"I only need to use my eye drops when my eyes feel strained."
    我只在眼睛感到疲勞時才需要使用眼藥水。
  • B"I will need to stop taking my blood pressure medication."
    我需要停止服用我的降血壓藥物。
  • C"This condition will eventually cause blindness, so there's nothing I can do."
    這種狀況最終會導致失明,所以我什麼都做不了。
  • D"I should avoid activities that increase my eye pressure."✓ 正解
    我應該避免會增加眼壓的活動。
Explanation · 中文詳解

青光眼(Glaucoma)的核心病理是眼內壓(Intraocular Pressure, IOP)升高,進而壓迫視神經導致視力喪失。病人的教育重點在於維持穩定的眼壓。任何會導致頭部充血或增加胸內壓的動作(如彎腰、舉重、憋氣用力)都可能導致眼壓急劇上升。因此,教育病人調整生活習慣以避免上述活動是護理指導的關鍵。此外,青光眼治療需要長期且規律的藥物遵囑性,絕不可自行停藥或間歇性用藥。

The central pathology of glaucoma is elevated intraocular pressure (IOP), which compresses the optic nerve and leads to vision loss. The focus of client education is to maintain stable intraocular pressure. Any maneuver that causes cephalic congestion or increases intrathoracic pressure (such as bending forward, heavy lifting, or straining with breath-holding) may cause a sharp rise in IOP. Therefore, teaching the client to adjust lifestyle habits to avoid these activities is essential nursing guidance. In addition, glaucoma treatment requires long-term and consistent medication adherence; clients must never discontinue medications on their own or use them intermittently.

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