— 生理適應 · MEDIUM · SATA —
護理師照顧一位甲狀腺功能亢進的病人,應監測哪些臨床發現?(選所有適合的)
A nurse is caring for a client with hyperthyroidism. Which findings should the nurse monitor for? (Select all that apply.)
- ATachycardia✓ 正解心動過速
- BWeight loss despite increased appetite✓ 正解儘管食慾增加卻體重減輕
- CHeat intolerance✓ 正解不耐熱
- DBradycardia心動過緩
- ECold intolerance不耐冷
— Explanation · 中文詳解 —
甲狀腺功能亢進(Hyperthyroidism)導致體內甲狀腺素過量,使得基礎代謝率(BMR)大幅提升。臨床上會出現交感神經興奮的症狀,如心搏過速(Tachycardia)、心悸;代謝旺盛導致熱量消耗過快,產生食慾增加但體重減輕(Weight loss);體溫調節系統受影響,導致對熱極度敏感(Heat intolerance)。
Hyperthyroidism causes a hypermetabolic state and sympathetic nervous system excitation, resulting in tachycardia, heat intolerance, and weight loss despite increased appetite. These symptoms contrast with hypothyroidism, which presents with bradycardia and cold intolerance.