— 生理適應 · HARD · MCQ —
護理師評估一位低血鉀病人,下列哪項發現需優先處理?
A nurse is assessing a client with hypokalemia. Which finding should the nurse prioritize?
- AMuscle weakness肌肉無力
- BDecreased bowel sounds腸蠕動音減弱
- CDry mucous membranes黏膜乾燥
- DIrregular heart rate✓ 正解心律不整
— Explanation · 中文詳解 —
低血鉀會影響心肌電生理,導致心律不整,這是生命威脅,必須優先處理。肌肉無力與腸蠕動變慢雖為常見症狀,但不如心臟併發症致命。黏膜乾燥與液體不足有關,雖然需要補液,但心臟穩定性在急診護理中具有最高優先權。
Prevention of skin cancer focuses on minimizing ultraviolet (UV) radiation exposure, which is the primary cause of DNA damage. Using broad-spectrum sunscreen with an SPF of at least 30 blocks approximately 97% of UVB rays, and nurses should also teach the ABCDE self-examination principle and the importance of protective clothing during peak sun hours.
✦ 台美臨床差異
美國護理師常依據醫囑執行靜脈給鉀滴注,台灣亦然,但給藥前需確認尿量以確保腎功能正常,這是兩地共同的安全規範。