— 生理適應 · EASY · MCQ —
一位病人被診斷為甲狀腺功能亢進,護理師應預期出現何種臨床表現?
A client is diagnosed with hyperthyroidism. Which clinical manifestation should the nurse anticipate?
- ABradycardia心搏過慢
- BLethargy嗜睡
- CHeat intolerance✓ 正解不耐熱
- DWeight gain體重增加
— Explanation · 中文詳解 —
甲狀腺功能亢進(Hyperthyroidism)導致體內甲狀腺素(T3, T4)過多,造成全身代謝速率(Metabolic Rate)異常升高。這會引發交感神經系統的過度興奮,臨床表現包括怕熱、多汗、體重減輕、心搏過速、焦慮及失眠等。護理重點在於提供涼爽環境、補充高熱量飲食以應對代謝消耗,並監測心臟功能。選項中的心搏過慢、體重增加及嗜睡,皆是甲狀腺功能低下(Hypothyroidism)的典型症狀。
Hyperthyroidism increases the metabolic rate, leading to heat intolerance, tachycardia, and weight loss despite increased appetite. The elevated metabolism causes the body to generate excess heat, making the client sensitive to warm environments. Symptoms such as bradycardia, lethargy, and weight gain are characteristic of hypothyroidism, not hyperthyroidism.