[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":10},"nurse-107-1-內外科護理學-072","nurse-107-1-medical-surgical-072",107,1,72,"有關尿崩症病人之照護與處置，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"腎原性尿崩症可透過限制飲食鹽分攝取，以緩解症狀","使用鼻噴劑型 DDAVP（Desmopressin）是補充抗利尿素最佳給藥途徑","限制每日水分攝取量，可避免出現代償性體液調節作用","需要密集監測生命徵象、每日體重變化、尿比重、電解質","C",null,[],"本題考點為尿崩症的體液管理原則。尿崩症因抗利尿素(ADH)不足或腎臟不反應,大量排出稀釋尿液,依此機轉病人核心風險是脫水與高血鈉,照護應「補充水分」而非限水,故C「限制每日水分攝取」不適當且危險。A腎原性尿崩症限制鈉攝取、搭配thiazide利尿劑可產生弔詭性減尿效果,屬合理處置;B鼻噴劑型DDAVP直接補充抗利尿素,是中樞性尿崩症的主要給藥途徑;D密集監測生命徵象、體重、尿比重與電解質,可及早發現脫水與電解質失衡,皆為適當照護。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840741104]