— 心理社會完整性 · HARD · MCQ —
哪一項厭食症病人的臨床發現最令護理師擔憂？
Which of the following findings in a client with Anorexia Nervosa would be of highest concern to the nurse?
- APreoccupation with food preparation對食物準備過度關注
- BAmenorrhea for 6 months停經6個月
- CPotassium level of 2.8 mEq/L✓ 正解鉀離子濃度為2.8 mEq/L
- DLanugo growth on the back背部出現細毛（Lanugo）
— Explanation · 中文詳解 —
厭食症病人常伴隨電解質不平衡。鉀離子過低（低血鉀）會引發致命性的心律不整，是臨床上最急需介入的緊急狀況。其他選項（無月經、細毛、對食物執著）多為病程的慢性表現，雖需要治療，但急迫性低於致命的心律威脅。
A potassium level of 2.8 mEq/L indicates severe hypokalemia, which poses the highest risk for life-threatening cardiac dysrhythmias in clients with anorexia nervosa. While amenorrhea, lanugo, and preoccupation with food are common signs of the disorder, they are not immediately fatal. The nurse must prioritize addressing electrolyte imbalances that threaten cardiovascular stability.
✦ 台美臨床差異
美式醫療對於飲食疾患有專門的住院計畫；台灣飲食疾患多散布於身心科病房，護理人員對 refeeding syndrome 的監測能力需持續提升。