— 生理適應 · HARD · SATA —
護理師照顧一位 SIADH 病人，應採取哪些措施？（選所有適合的）
A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which interventions should the nurse perform? (Select all that apply.)
- ARestrict oral fluid intake✓ 正解限制經口攝入水分
- BAdminister isotonic saline boluses給予等張鹽水推注
- CMonitor for signs of hyponatremia✓ 正解監測低血鈉徵象
- DWeigh the client daily✓ 正解每日測量體重
- EEncourage a high-sodium diet✓ 正解鼓勵高鈉飲食
— Explanation · 中文詳解 —
SIADH 導致水分過度滯留，引起稀釋性低血鈉。治療核心為限水以預防液體過載，並攝取鈉以平衡濃度。每日體重監測可評估水分消退狀況。使用等張生理食鹽水 bolus 可能加重水分滯留，通常需限制液體及使用高張溶液。
Effective substance abuse education for teens focuses on immediate social and physical benefits of refusal, such as improved performance and autonomy. Teens often resist fear-based tactics or abstract scientific data, preferring strategies that align with their developmental need for independence. Emphasizing immediate rewards is more motivating than discussing distant legal consequences.
✦ 台美臨床差異
美籍護理師在重症單位常依據醫囑執行高張鹽水輸注，台灣則多由醫師親自評估後給藥。