— 生理適應 · EASY · SATA —
體液過多 (Hypervolemia) 病人的典型評估發現有哪些？（選所有適合的）
Which assessment findings are typical for a client with hypervolemia? (Select all that apply.)
- ABounding pulse✓ 正解洪脈
- BDistended neck veins✓ 正解頸靜脈怒張
- CCrackles upon auscultation✓ 正解聽診時出現濕囉音
- DFlat neck veins when supine仰臥時頸靜脈扁平
- EWeight loss體重減輕
— Explanation · 中文詳解 —
體液過多會導致循環負荷增加。典型發現包括：洪脈（Bounding pulse, A）、頸靜脈怒張（B）、肺部濕囉音（C，代表肺水腫）。平臥時頸靜脈扁平（D）是血容不足的徵兆；體液過多會導致體重增加（E）而非減少。
Hypervolemia increases circulatory volume, leading to a bounding pulse, distended neck veins due to venous congestion, and crackles from pulmonary edema. These findings contrast with hypovolemia, which presents with flat neck veins and weight loss.
✦ 台美臨床差異
無差異。此為體液與電解質平衡的基本評估內容。