— 生理適應 · MEDIUM · MCQ —
一位有慢性腎臟病 (CKD) 病史的病人感到疲勞和虛弱。護理師懷疑是貧血。哪項實驗室檢查結果會支持此懷疑？
A client with a history of chronic kidney disease (CKD) is experiencing fatigue and weakness. The nurse suspects anemia. Which laboratory finding would support this suspicion?
- AElevated platelet count血小板計數升高
- BElevated white blood cell count白血球計數升高
- CDecreased hemoglobin✓ 正解血紅蛋白降低
- DDecreased serum sodium血清鈉降低
— Explanation · 中文詳解 —
慢性腎臟病病人常因腎臟製造紅血球生成素 (erythropoietin) 的能力下降，導致紅血球生成減少，引起貧血。低血紅蛋白 (hemoglobin) 是貧血的直接指標，會導致組織缺氧，引起疲勞和虛弱。
Chronic kidney disease often leads to decreased erythropoietin production, resulting in anemia. A decreased hemoglobin level is the primary laboratory indicator supporting this diagnosis and explains the client's fatigue and weakness due to reduced oxygen-carrying capacity.
✦ 台美臨床差異
美國腎臟科護理師常協助病人進行紅血球生成素注射治療；台灣則由醫師開立處方，護理師衛教病人用藥和副作用。