— 生理適應 · EASY · SATA —
護理師照護一位體液容積過負荷的病人，下列哪些臨床表現是預期中會出現的？（選所有適合的）
A nurse is caring for a client with signs of fluid volume overload. Which clinical findings should the nurse anticipate? (Select all that apply.)
- ABounding pulse✓ 正解脈搏強而有力
- BDistended neck veins✓ 正解頸靜脈怒張
- CCrackles in lung fields✓ 正解肺野出現囉音
- DDecreased blood pressure血壓下降
- EWeight gain✓ 正解體重增加
— Explanation · 中文詳解 —
體液過負荷（Fluid Overload）導致血管內壓力升高。表現包括脈搏強而有力（Bounding pulse）、頸靜脈怒張（JVD）、肺部濕囉音（Crackles，代表肺水腫）、體重短時間快速上升。血壓通常會升高而非下降。
Fluid volume overload increases vascular pressure, leading to clinical signs such as a bounding pulse, distended neck veins, and crackles in the lung fields due to pulmonary edema. Rapid weight gain is also expected due to water retention, while blood pressure typically rises rather than decreases.
✦ 台美臨床差異
無顯著臨床執業差異。