— 基本照護與舒適 · MEDIUM · SATA —
護理師評估病人的營養狀態時，哪些發現是需要擔憂的？（選所有適合的）
A nurse is assessing a client for nutritional status. Which findings are concerning? (Select all that apply.)
- AUnintentional weight loss of 10% in 3 months✓ 正解三個月內非預期性體重減輕 10%
- BSerum albumin level of 2.5 g/dL✓ 正解血清白蛋白值 2.5 g/dL
- CIncreased intake of complex carbohydrates增加複合碳水化合物的攝取
- DPoor wound healing✓ 正解傷口癒合不良
- ESkin turgor is elastic and moist皮膚彈力良好且濕潤
— Explanation · 中文詳解 —
營養狀態評估是臨床護理的重要環節。體重在短時間內顯著下降、血清白蛋白（Serum albumin）低下，以及傷口癒合延遲，皆是營養不良（Malnutrition）的典型臨床指標。白蛋白是維持膠體滲透壓與組織修復的關鍵蛋白質，數值過低顯示長期蛋白質攝取不足或流失過多。護理師需透過這些客觀數據，警覺病人是否存在潛在的營養代謝障礙。
Significant unintentional weight loss, low serum albumin levels, and poor wound healing are key indicators of malnutrition. Albumin is crucial for tissue repair and maintaining oncotic pressure, so deficits suggest chronic protein deficiency, whereas increased complex carbohydrate intake and normal skin turgor are positive signs.