— 生理適應 · EASY · MCQ —
病人體溫 103.5°F (39.7°C)。適當的護理措施為何？
A client has a temperature of 103.5°F (39.7°C). Which nursing intervention is appropriate?
- AEncourage increased fluid intake✓ 正解鼓勵增加水分攝取
- BKeep the room temperature very warm保持房間溫度非常溫暖
- CCover the client with heavy blankets用厚毛毯覆蓋病人
- DApply ice directly to the skin將冰塊直接敷在皮膚上
— Explanation · 中文詳解 —
高燒會導致代謝率上升及不顯性水分流失（Insensible water loss）增加，補充水分是維持血液循環與體溫調節的基礎。臨床處理高燒時，應採取溫和的降溫策略，避免引發寒顫（Shivering），因為寒顫會導致肌肉活動增加，反而進一步提升身體核心溫度。護理重點在於提供舒適環境，支持身體自然的散熱機制。
High fever significantly increases insensible water loss and metabolic rate, making increased fluid intake essential to prevent dehydration. Interventions should focus on promoting heat dissipation without triggering shivering, which would further raise body temperature.