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健康促進與維護 · MEDIUM · SATA

護理師針對有高血壓病史的個案,應包含哪些長期心血管健康促進的護理措施?(選所有適合的)

Which of the following interventions should the nurse include in the plan of care for a client with a history of hypertension to promote long-term cardiovascular health? (Select all that apply.)

  • AEngage in at least 150 minutes of moderate-intensity aerobic activity per week✓ 正解
    每週進行至少150分鐘的中度強度有氧運動
  • BLimit daily alcohol consumption to no more than one drink for women✓ 正解
    將每日酒精攝取量限制在女性不超過一份
  • CMaintain a diet rich in fruits, vegetables, and whole grains✓ 正解
    維持富含水果、蔬菜和全穀物的飲食
  • DRestrict dietary potassium intake to prevent hyperkalemia
    限制膳食鉀攝取以預防高血鉀
  • EAim for a target body mass index (BMI) between 18.5 and 24.9✓ 正解
    目標體重指數(BMI)維持在18.5至24.9之間
Explanation · 中文詳解

高血壓長期管理強調 DASH 飲食(富含蔬果、纖維)、規律有氧運動、體重控制及限制酒精。限鉀並非高血壓常規建議,相反地,DASH 飲食鼓勵攝取充足鉀離子以幫助代謝鈉離子。因此 D 為錯誤,其餘均為 AHA 推薦的標準指引。

Long-term hypertension management emphasizes the DASH diet (rich in fruits, vegetables, and fiber), regular aerobic exercise, weight management, and alcohol restriction. Potassium restriction is not a routine recommendation in hypertension; on the contrary, the DASH diet encourages adequate potassium intake to help offset sodium. Therefore option D is incorrect, while the others are standard AHA recommendations.

✦ 台美臨床差異

美國護理師常運用 Motivational Interviewing 協助病人落實這些生活習慣,台灣則較常仰賴藥物控制。

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