— 心理社會完整性 · MEDIUM · SATA —
護理師應監測急性酒精戒斷病人的哪些症狀？（選所有適合的）
Which signs and symptoms should the nurse monitor for in a client experiencing acute alcohol withdrawal? (Select all that apply.)
- ADiaphoresis✓ 正解盜汗
- BTachycardia✓ 正解心搏過速
- CHypertension✓ 正解高血壓
- DBradycardia心搏過緩
- ETremors✓ 正解震顫
— Explanation · 中文詳解 —
急性酒精戒斷（Alcohol withdrawal）會導致交感神經系統亢進，出現一系列生理反應。護理師需密切監測自主神經徵象，包括出汗（diaphoresis）、心跳過速（tachycardia）、高血壓（hypertension）與震顫（tremors）。及早識別這些症狀對於預防嚴重的戒斷症候群（如震顫譫妄）至關重要。
Acute alcohol withdrawal causes hyperactivity of the sympathetic nervous system, producing a range of physiologic responses. The nurse must closely monitor autonomic signs, including diaphoresis, tachycardia, hypertension, and tremors. Early identification of these symptoms is essential to preventing more serious withdrawal syndromes such as delirium tremens.