— 降低風險 · MEDIUM · MCQ —
護理師照護一位心臟衰竭病史的病人。下列哪項日常習慣最需要持續監測？
A nurse is caring for a client with a history of heart failure. Which daily habit is most critical to monitor?
- ABlood pressure readings血壓讀數
- BFluid intake液體攝取量
- CDaily weight✓ 正解每日體重
- DPulse rate脈搏速率
— Explanation · 中文詳解 —
心臟衰竭（Heart Failure）病人因心臟泵血功能受損，極易導致水分滯留。每日定時測量體重是監測液體負荷（fluid overload）最敏感、最早期且最簡便的指標。體重在短時間內明顯增加（如 1-2 天內增加 2-3 磅），通常早於周邊水腫、肺部濕囉音（crackles）或呼吸困難等臨床症狀出現，是預防失代償（decompensation）與再入院的關鍵指標。
Daily weight measurement is the most sensitive and reliable indicator of fluid status in clients with heart failure, detecting fluid retention before other symptoms appear. A rapid weight gain suggests fluid overload, allowing for early intervention to prevent decompensation and hospital readmission.