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健康促進與維護 · MEDIUM · MCQ

護理師為剛診斷為高血壓的個案進行出院衛教。哪句話顯示個案正確理解了鈉攝取限制?

A nurse is providing discharge teaching for a client with newly diagnosed hypertension. Which statement reflects a correct understanding of sodium intake?

  • AI should completely stop using salt in cooking
    我應該完全停止在烹飪中使用鹽
  • BI can continue eating canned soups as long as I add water
    只要我加水,我可以繼續吃罐頭湯
  • CI only need to watch my sodium intake on the weekends
    我只需要在週末注意鈉攝取量
  • DI will check food labels for hidden sodium content✓ 正解
    我會檢查食品標籤以了解隱藏的鈉含量
Explanation · 中文詳解

核心概念:高血壓(Hypertension)患者的飲食管理,特別是鈉(Sodium)攝取。 為何正確答案對: D. 檢查食品標示中的隱藏鈉含量(check food labels for hidden sodium content)。許多加工食品、罐頭食品、醃漬品、醬料中含有大量鈉,即使味道不鹹,也可能鈉含量超標。學會閱讀食品標示,辨識並選擇低鈉產品,是有效控制鈉攝取的關鍵。 為何其他選項錯: A. 完全停止烹飪用鹽(completely stop using salt in cooking)。雖然減少鈉攝取很重要,但完全禁止烹飪用鹽可能過於嚴苛且難以執行,重點在於「減少」而非「完全禁止」。許多天然食物本身也含有鈉。 C. 罐頭湯品加水稀釋(continue eating canned soups as long as I add water)。雖然加水稀釋可以稍微降低鈉濃度,但罐頭湯品本身的鈉含量通常很高,稀釋後總鈉攝取量仍可能偏高,並非理想的低鈉選擇。 C. 只在週末注意鈉攝取(only need to watch my sodium intake on the weekends)。高血壓的飲食控制需要每日持續執行,而非選擇性地在特定日期遵守。週末的飲食若不加控制,可能抵銷平日的努力,影響血壓控制效果。 臨床思路/健康促進:高血壓是心血管疾病的重要風險因子,飲食控制是其基礎治療。護理師需教導病人如何實際執行低鈉飲食,重點在於辨識加工食品中的鈉,並選擇健康的烹調方式。讓病人理解「隱藏性鈉」的概念,是成功衛教的關鍵。

Effective sodium management for hypertension involves checking food labels for hidden sodium in processed and canned foods, as these are significant sources. Completely eliminating salt or relying on dilution is insufficient, and consistent daily monitoring is necessary rather than restricting intake only on weekends.

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