— 生理適應 · MEDIUM · MCQ —
護理師照顧一位甲狀腺亢進病人。哪項措施有助於預防甲狀腺風暴？
A nurse is caring for a client with hyperthyroidism. Which intervention is appropriate to prevent thyroid storm?
- AIncreasing physical activity增加身體活動
- BAdministering high-dose aspirin給予高劑量阿斯匹靈
- CAdministering stimulant beverages給予刺激性飲料
- DReducing environmental stressors✓ 正解減少環境壓力源
— Explanation · 中文詳解 —
甲狀腺風暴（thyroid storm）是甲狀腺功能亢進（hyperthyroidism）最嚴重且危及生命的併發症，其特徵是身體代謝率急劇升高，可能由壓力、感染、手術或未妥善治療的甲狀腺亢進誘發。護理目標是預防此類危象的發生。 核心概念：甲狀腺風暴的發生與身體處於極端壓力狀態有關。任何增加身體代謝負荷的因素都可能觸發風暴。因此，減少身體的壓力源是預防的關鍵。 臨床思路：在處理甲狀腺功能亢進的病人時，需時刻警惕潛在的壓力因子。除了藥物治療，環境與心理的照護同等重要，旨在降低病人的整體壓力水平，穩定其生理狀態。
Reducing environmental stressors is appropriate to prevent thyroid storm, as stress can trigger a dangerous surge in metabolic rate and sympathetic stimulation. Interventions such as increasing physical activity, administering aspirin, or providing stimulants would exacerbate the condition and increase the risk of thyroid storm.