— 健康促進與維護 · HARD · MCQ —
在健康篩檢中，護理師應將哪項評估發現視為 50 歲病人的心血管疾病風險因子？
Which assessment finding in a 50-year-old client should the nurse identify as a risk factor for cardiovascular disease during a health screening?
- AFasting blood glucose of 90 mg/dL空腹血糖 90 mg/dL
- BBlood pressure of 118/78 mmHg血壓 118/78 mmHg
- CWaist circumference of 42 inches in a male✓ 正解男性腰圍 42 英吋
- DHDL cholesterol level of 65 mg/dL高密度脂蛋白膽固醇 65 mg/dL
— Explanation · 中文詳解 —
腹部肥胖（男性腰圍 >40 英吋或 102 公分，女性 >35 英吋或 88 公分）是代謝症候群的核心指標，高度關聯於胰島素阻抗、血脂異常及心血管風險。HDL 65 為保護性指標，BP 與血糖數值均在理想範圍內。
A waist circumference of 42 inches in a male indicates abdominal obesity, which is a significant risk factor for cardiovascular disease and metabolic syndrome. Unlike normal glucose levels, healthy blood pressure, or protective HDL cholesterol, increased abdominal fat is strongly associated with insulin resistance and elevated cardiac risk.
✦ 台美臨床差異
美國常使用腰圍作為代謝症候群依據，台灣衛福部針對男性標準訂為 90 公分，略低於美國標準。