[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"產兒科護理學","maternal-pediatric",{"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":22},"nurse-107-2-產兒科護理學-077","nurse-107-2-maternal-pediatric-077",107,2,77,"王小弟，診斷為急性腎衰竭（acute renal failure），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"腎臟排出過多氫離子與鉀離子，造成代謝性酸中毒","依醫囑給與口服 kayexalate，增加鉀離子的吸收","少尿期，體液容積過多，宜限制水分攝入","少尿期應攝入高鉀、高鈉飲食，矯正電解質不平衡","C",null,[],"本題考點在於急性腎衰竭少尿期的體液電解質處置。少尿期腎絲球過濾率下降、水分滯留造成體液容積過多,應限制水分攝取,選 C。A 錯,酸中毒的機轉是腎臟「無法排出」足夠氫離子與鉀離子而滯留,造成代謝性酸中毒與高血鉀,並非排出過多。B 錯,kayexalate 是離子交換樹脂,作用為在腸道結合並「增加鉀離子排出」以降血鉀,而非增加吸收。D 錯,少尿期血鉀已偏高,應採「限鉀、限鈉」飲食,高鉀恐引發致命心律不整。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840752254]