— 生理適應 · HARD · MCQ —
一位病人被診斷為抗利尿激素分泌失調症候群（SIADH）。下列哪項護理措施為優先事項？
A client is diagnosed with SIADH. Which nursing intervention should be the priority?
- AImplement seizure precautions✓ 正解實施防癲癇 precautions
- BAdminister potassium supplements給予鉀離子補充劑
- CEncourage fluid intake to 3L/day鼓勵每日水分攝取量達 3L
- DIncrease dietary sodium intake增加膳食鈉攝取
— Explanation · 中文詳解 —
SIADH（抗利尿激素分泌失調症候群）導致身體過度滯留水分，造成稀釋性低血鈉（Dilutional hyponatremia）。當血鈉過低時，液體會進入腦細胞導致腦水腫（cerebral edema），進而引起意識不清或癲癇。因此，預防癲癇發作是維護病人安全的第一優先級別（Safety first）。
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) leads to water retention and dilutional hyponatremia, which can cause cerebral edema and increase the risk of seizures. Implementing seizure precautions is the priority nursing intervention to ensure client safety during this acute metabolic imbalance.