— 藥理與非經腸給藥 · MEDIUM · SATA —
哪項評估結果顯示雙極性疾患病人可能有鋰鹽中毒徵象？（選所有適合的）
Which assessment findings should the nurse identify as indicators of possible lithium toxicity in a client with bipolar disorder? (Select all that apply.)
- ACoarse hand tremors✓ 正解手部粗大震顫
- BPersistent diarrhea✓ 正解持續性腹瀉
- CAtaxia✓ 正解共濟失調
- DHypoactive bowel sounds腸蠕動減弱
- EConfusion✓ 正解意識混亂
— Explanation · 中文詳解 —
鋰鹽（Lithium）的治療指數極窄，中毒徵象常表現為神經系統與消化系統異常。常見中毒徵兆包括粗大震顫（不同於輕微的生理性震顫）、共濟失調（步態不穩）、意識混亂、發音不清及持續性的嘔吐腹瀉。低血鈉會導致鋰鹽再吸收增加，引發中毒，因此護理師應指導病人維持穩定的鈉鹽攝取與水分補充，並定期監測血中鋰濃度。
Indicators of lithium toxicity include coarse hand tremors, persistent diarrhea, ataxia, and confusion, reflecting significant neurological and gastrointestinal involvement. These symptoms distinguish toxicity from therapeutic effects, necessitating immediate evaluation and potential discontinuation of the medication to prevent severe complications.