— 心理社會完整性 · HARD · SATA —
護理師評估一位 28 歲罹患厭食症的女性個案。會預期發現哪些臨床表現？（選所有適合的）
A 28-year-old female client with anorexia nervosa is being assessed. Which clinical findings would the nurse expect to note? (Select all that apply.)
- AAmenorrhea✓ 正解閉經
- BBradycardia✓ 正解心動過緩
- CHyperthermia體溫過高
- DLanugo✓ 正解毳毛
- EHypokalemia✓ 正解低血鉀
— Explanation · 中文詳解 —
厭食症常見生理改變包含：因內分泌失調導致停經；心肌萎縮或迷走神經亢進導致心跳過慢；體溫調節失調導致畏寒而長出胎毛（Lanugo）；若有催吐或瀉藥濫用，則易出現低血鉀。過熱（Hyperthermia）並非典型徵象。
Clients with anorexia nervosa often exhibit amenorrhea due to hormonal suppression and low body fat, as well as bradycardia resulting from metabolic slowing. Lanugo, fine body hair, develops to conserve heat due to hypothermia, while hypokalemia is a common electrolyte imbalance caused by purging behaviors.
✦ 台美臨床差異
美國護理師常參與飲食障礙多專業小組會議（MDT）；台灣此類個案多轉介至精神科門診或相關病房照護。