— 心理社會完整性 · MEDIUM · SATA —
一位病人因酒精戒斷入院。護理師在戒斷後 24 至 48 小時內應預期哪些症狀？（選所有適合的）
A client is admitted for alcohol withdrawal. Which symptoms should the nurse anticipate during the first 24 to 48 hours? (Select all that apply.)
- ATremors✓ 正解震顫
- BSeizures✓ 正解癲癇發作
- CHallucinations✓ 正解幻覺
- DConfusion✓ 正解意識混亂
- EHypotension低血壓
— Explanation · 中文詳解 —
酒精戒斷症候群（Alcohol Withdrawal Syndrome）通常在最後一次飲酒後 6-12 小時開始，並在 24-48 小時達到高峰。此階段因中樞神經系統缺乏酒精的抑制作用，導致交感神經亢進（Sympathetic hyperactivity）。護理重點在於預防癲癇發作及監控生命徵象，並提供安全環境。
Anticipate tremors, seizures, hallucinations, and confusion during the first 24 to 48 hours of alcohol withdrawal due to sympathetic nervous system hyperactivity. These symptoms typically peak within this timeframe as the central nervous system reacts to the absence of alcohol's depressant effects. Monitor vital signs closely, as hypertension is common, whereas hypotension is not a typical feature of this withdrawal phase.