— 生理適應 · MEDIUM · SATA —
下列哪些護理措施適用於診斷為庫欣氏症候群(Cushing's syndrome)的病人?(選所有適合的)
Which of the following interventions are appropriate for a client diagnosed with Cushing's syndrome? (Select all that apply.)
- AMonitor blood glucose levels frequently✓ 正解頻繁監測血糖值
- BEncourage a high-potassium, low-sodium diet✓ 正解鼓勵攝取高鉀、低鈉飲食
- CImplement strict infection control measures✓ 正解實施嚴格的感染控制措施
- DEncourage physical exercise to promote weight loss鼓勵身體運動以促進減重
- EAssess for signs of skin thinning and easy bruising✓ 正解評估皮膚變薄及容易瘀青的徵象
— Explanation · 中文詳解 —
庫欣氏症候群(Cushing's syndrome)因皮質醇過高,導致一系列代謝與生理改變:高血糖(需監測)、水鈉滯留(需低鈉高鉀飲食)、免疫抑制(需感染控制)及蛋白質分解(皮膚變薄)。病人因骨質流失與體力虛弱,不建議過度運動,應以適度活動為主,以免發生骨折。護理師應針對這些生理改變,提供全面的照護計畫。
Cushing's syndrome causes hyperglycemia, sodium retention with potassium loss, immune suppression, and skin fragility. Nursing care includes frequent glucose monitoring, implementing infection control, encouraging a high-potassium/low-sodium diet, and assessing for skin changes.