— 生理適應 · HARD · SATA —
一位艾迪森氏症(Addison's disease)病人,護理師應納入哪些照護計畫?(選所有適合的)
A client is diagnosed with Addison's disease. Which intervention should the nurse include in the plan of care? (Select all that apply.)
- AMonitor for hypoglycemia✓ 正解監測低血糖
- BProvide a high-sodium diet✓ 正解提供高鈉飲食
- CAssess for hyperkalemia✓ 正解評估高血鉀
- DLimit fluid intake限制液體攝取
- EAdminister potassium supplements給予鉀離子補充劑
— Explanation · 中文詳解 —
艾迪森氏症(Addison's disease)是腎上腺皮質功能不足,導致皮質醇(Cortisol)與醛固酮(Aldosterone)缺乏。醛固酮不足引起鈉流失、鉀滯留(高血鉀)。皮質醇不足則導致血糖無法穩定,易出現低血糖。治療重點為補充礦物皮質素與糖皮質素,飲食上需增加鈉攝取以補充流失。不可限制水分,因為病人易脫水。
Addison's disease involves cortisol and aldosterone deficiency, leading to risks of hypoglycemia, sodium loss, and hyperkalemia. Nursing care includes monitoring for low blood sugar, providing a high-sodium diet, and assessing for elevated potassium levels.