— 心理社會完整性 · MEDIUM · SATA —
一位病人被診斷為厭食症。護理師應預期發現下列哪些現象?(選所有適合的)
A client is diagnosed with anorexia nervosa. Which findings should the nurse expect? (Select all that apply.)
- AAmenorrhea✓ 正解閉經
- BLanugo growth✓ 正解毳毛增生
- CElectrolyte imbalance✓ 正解電解質失衡
- DBinge eating episodes followed by vomiting暴飲暴食後嘔吐
- EBradycardia✓ 正解心動過緩
— Explanation · 中文詳解 —
厭食症(Anorexia nervosa)病患因長期極度限制熱量攝取,導致嚴重的生理代償機制。閉經是因為體脂過低導致雌激素分泌異常;胎毛(Lanugo)是身體為了保溫而長出的細毛;心跳過慢(Bradycardia)則是心肌因長期營養不良導致的結構與電生理改變。電解質不平衡則常伴隨營養攝取不均或合併催吐行為。
Clients with anorexia nervosa often exhibit amenorrhea due to suppressed gonadal hormones, lanugo hair growth as a thermoregulatory response to starvation, and bradycardia from decreased metabolic rate. Electrolyte imbalances are also common due to severe malnutrition and potential purging behaviors.