— 生理適應 · HARD · MCQ —
病人被診斷為抗利尿激素分泌異常症候群（SIADH），下列哪項護理措施為優先？
A client is diagnosed with SIADH. Which nursing intervention is a priority for this client?
- AEncourage fluid intake鼓勵攝取水分
- BMonitor for hypernatremia監測高血鈉
- CMaintain seizure precautions✓ 正解維持防癲癇 precautions
- DAdminister furosemide as ordered依醫囑給予 furosemide
— Explanation · 中文詳解 —
抗利尿激素分泌異常症候群（SIADH）導致水分滯留與稀釋性低血鈉。嚴重低血鈉會導致細胞水腫，特別是腦水腫，進而引發意識改變、癲癇（seizure）甚至昏迷。因此，對於此類病人，預防癲癇發作、執行安全防護（如床欄升起、環境安全）是護理首要任務。其餘治療如水分限制與利尿劑使用，需在確保生命徵象穩定後進行。
Note: This ID was used twice in input; assuming distinct logic for Q5 based on stem. Laryngeal stridor and restlessness are critical signs of airway obstruction, often caused by post-thyroidectomy edema or hematoma. Airway patency is the highest priority under ABCs; therefore, notifying the surgeon to prepare for an emergency tracheostomy is essential to prevent asphyxiation.