— 生理適應 · MEDIUM · MCQ —
一位慢性腎臟病（CKD）患者感到極度疲倦。護理師應優先檢查哪項檢驗結果？
A client with chronic kidney disease (CKD) reports feeling extremely fatigued. Which laboratory result should the nurse investigate first?
- ASerum sodium level血清钠浓度
- BHemoglobin level✓ 正解血红蛋白浓度
- CSerum calcium level血清钙浓度
- DBlood glucose level血糖浓度
— Explanation · 中文詳解 —
慢性腎臟病（CKD）患者因腎臟功能受損，導致紅血球生成素（EPO）分泌不足，進而引發慢性貧血。貧血會導致組織缺氧，是 CKD 患者出現極度疲倦（Fatigue）的最常見原因。在臨床評估中，護理師應運用優先順序原則，針對導致疲倦的潛在生理病理機制進行調查，血紅素（Hgb）檢測能直接反映貧血嚴重程度，為後續治療（如補充鐵劑或 EPO）提供依據。
Chronic kidney disease often leads to decreased erythropoietin production, resulting in anemia and subsequent tissue hypoxia, which manifests as severe fatigue. Therefore, assessing hemoglobin levels is the priority to evaluate the severity of anemia and guide treatment.