— 生理適應 · EASY · SATA —
罹患甲狀腺功能亢進的病人,護理師應預期看到哪些臨床表現?(選所有適合的)
Which assessment findings should a nurse expect in a client diagnosed with hyperthyroidism? (Select all that apply.)
- ATachycardia✓ 正解心跳過速
- BWeight loss✓ 正解體重減輕
- CHeat intolerance✓ 正解不耐熱
- DBradycardia心跳過慢
- EFine tremors✓ 正解細微震顫
— Explanation · 中文詳解 —
甲狀腺功能亢進(Hyperthyroidism)導致體內甲狀腺素(T3/T4)過多,造成身體代謝率異常升高。臨床核心表現為交感神經系統過度興奮及高代謝狀態。護理評估應聚焦於心血管、代謝與神經肌肉系統的異常發現。此類病人常處於「加速」狀態,與甲狀腺功能低下(Hypothyroidism)的「減速」表現完全相反。
Hyperthyroidism accelerates the body's metabolic rate, leading to tachycardia, weight loss despite increased appetite, heat intolerance, and fine tremors due to sympathetic overactivity. These symptoms contrast sharply with hypothyroidism, which presents with bradycardia and weight gain. Assessment should focus on identifying signs of this hypermetabolic state.