— 生理適應 · HARD · MCQ —
護理師觀察到哪項評估發現，代表病人已成功達成低血容性休克後的液體容積恢復目標？
Which assessment finding by the nurse indicates that the client has successfully reached the goal of fluid volume restoration after hypovolemic shock?
- AHeart rate of 110 beats/min心率 110 次/分
- BRespiratory rate of 28 breaths/min呼吸頻率 28 次/分
- CUrine output of 40 mL/hr✓ 正解尿量 40 mL/小時
- DBlood pressure of 85/50 mmHg血壓 85/50 mmHg
— Explanation · 中文詳解 —
低血容性休克的治療目標是恢復器官灌流，尿量是評估腎臟灌流最直接、敏感的指標。成年人尿量維持在 30-50 mL/hr 以上代表腎臟灌流充足。心跳快（110 bpm）、低血壓（85/50 mmHg）與呼吸過速（28 bpm）皆仍為休克未完全恢復之表徵。
Preventing seasonal depression involves compensating for reduced sunlight through light therapy and increased natural light exposure. Maintaining a regular sleep-wake schedule helps stabilize the circadian rhythm and regulate mood, whereas isolation worsens symptoms.
✦ 台美臨床差異
美國對於休克監測常納入 CVP 或中心靜脈血氧飽和度，台灣地區在一般病房則高度依賴尿量及生命徵象監測。