— 健康促進與維護 · EASY · MCQ —
護理師在社區進行高血壓篩檢。哪項發現需要進一步醫療評估？
A nurse is conducting a community health screening for hypertension. Which of the following findings would indicate a need for further medical evaluation?
- ABlood pressure of 135/85 mmHg血壓 135/85 mmHg
- BBlood pressure of 145/92 mmHg✓ 正解血壓 145/92 mmHg
- CBlood pressure of 120/80 mmHg血壓 120/80 mmHg
- DBlood pressure of 118/78 mmHg血壓 118/78 mmHg
— Explanation · 中文詳解 —
依據臨床指引，血壓 140/90 mmHg 以上即可分類為第一期高血壓，需要進一步診斷與後續醫療追蹤。135/85 mmHg 處於偏高但未達高血壓標準，120/80 mmHg 為正常範圍，118/78 mmHg 為理想血壓。
Verifying tube placement is the priority action to ensure the medication is administered into the stomach and not the lungs, preventing aspiration. Medications should be given separately rather than mixed with formula or crushed together to avoid interactions and clogging. Adequate flushing with 15-30 mL of water is required between medications to maintain patency.
✦ 台美臨床差異
美台對高血壓的標準定義一致（>=140/90），但美國近年來更積極推動 <130/80 的目標控制值。