— 生理適應 · EASY · SATA —
一位診斷為體液容積不足的病人，護理師預期會觀察到哪些臨床表現？（選所有適合的）
A client is diagnosed with fluid volume deficit. Which clinical manifestations should the nurse expect to observe? (Select all that apply.)
- ATachycardia✓ 正解心搏過速
- BDecreased urine output✓ 正解尿量減少
- CBounding peripheral pulses周邊脈搏強而有力
- DDry mucous membranes✓ 正解黏膜乾燥
- EOrthostatic hypotension✓ 正解姿勢性低血壓
— Explanation · 中文詳解 —
體液流失導致循環血量下降，身體啟動代償機制導致心跳加快（Tachycardia），腎臟灌流減少使尿量減少。脫水表徵包括黏膜乾燥、姿勢性低血壓。脈搏強跳（Bounding pulse）通常與體液過多（Volume overload）相關，故不選。
Loss of body fluid reduces circulating volume, triggering compensatory mechanisms that increase the heart rate (tachycardia), while decreased renal perfusion lowers urine output. Manifestations of dehydration include dry mucous membranes and orthostatic hypotension. Bounding peripheral pulses are typically associated with fluid volume overload rather than deficit, so they are not selected.
✦ 台美臨床差異
無差異。