— 生理適應 · MEDIUM · MCQ —
一位第四期慢性腎臟病（CKD）病人主訴疲倦。應預期哪項檢驗結果？
A client with stage 4 chronic kidney disease (CKD) reports feeling tired. Which laboratory finding would the nurse expect?
- AElevated serum albumin血清白蛋白升高
- BLow serum creatinine血清肌酸酐降低
- CElevated hemoglobin血紅素升高
- DLow hemoglobin✓ 正解血紅素降低
— Explanation · 中文詳解 —
慢性腎臟病病人因腎臟製造紅血球生成素（EPO）減少，導致慢性貧血，這是病人容易感到疲倦的主因。因此，血紅素（Hemoglobin）濃度通常會降低。反之，血清肌酸酐（Creatinine）則會因腎功能衰竭而明顯上升。
Chronic kidney disease impairs the production of erythropoietin, leading to anemia and consequently low hemoglobin levels, which causes fatigue. Conversely, serum creatinine is typically elevated due to reduced renal excretion, and albumin levels may be low rather than high.
✦ 台美臨床差異
台美兩地對 CKD 貧血的治療皆包含補充紅血球生成素（EPO）及鐵劑的計畫。