— 生理適應 · MEDIUM · SATA —
護理師照護一位新診斷庫欣氏症候群的病人，應觀察到哪些臨床表現？（選所有適合的）
A nurse is caring for a client with a new diagnosis of Cushing’s syndrome. Which clinical findings should the nurse expect to observe? (Select all that apply.)
- ATruncal obesity✓ 正解向心性肥胖
- BHypoglycemia低血糖
- CPurple striae on the abdomen✓ 正解腹部紫紋
- DBuffalo hump✓ 正解水牛肩
- EMuscle atrophy in the extremities✓ 正解四肢肌肉萎縮
— Explanation · 中文詳解 —
庫欣氏症候群導因於皮質醇分泌過多。其代謝改變導致脂肪重新分佈，形成軀幹肥胖、水牛肩（Buffalo hump）及滿月臉。蛋白質分解亢進則造成皮膚變薄、出現紫色紋路，以及四肢肌肉萎縮。皮質醇具升糖作用，故病人常呈現高血糖而非低血糖。
Airborne precautions are necessary for pathogens smaller than 5 microns, such as tuberculosis, measles, and varicella, which remain suspended in the air. Standard surgical masks do not provide adequate filtration; therefore, healthcare providers must wear a fit-tested N95 respirator to effectively block these infectious particles.
✦ 台美臨床差異
台灣慢性病衛教常結合營養師與衛教師，美國則更強調護理師在內分泌門診的角色與用藥指導。