[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-074":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-108-1-內外科護理學-074","nurse-108-1-medical-surgical-074",108,1,74,"有關抗利尿素分泌不當症候群（SIADH）病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"遵守與執行限制液體措施","密切監測血壓、中心靜脈壓及血漿滲透壓的變化","監測有無出現肌肉抽搐或昏迷等中樞神經傷害","預防與高血鈉有關的潛在性傷害情況題：吳先生 27 歲，因騎機車與卡車相撞造成左大腿骨折且有一長 15 公分、深 3 公分之撕裂傷，血流不止，送達急診時，病人體溫 36℃、心跳 130 次／分、呼吸 35 次／分、血壓 90\u002F60 mmHg，皮膚冰冷潮濕，微血管充填時間大於 5 秒。請依據上述資料回答第 75 題至第 77 題。","D",null,[],"本題考點為抗利尿素分泌不當症候群（SIADH）的水電解質方向，題目要選「錯誤」的護理措施。SIADH 因 ADH 過度分泌使水分滯留，造成稀釋性低血鈉，而非高血鈉；選項 D 說要預防「高血鈉」相關傷害，方向完全相反，故選 D。選項 A 限水正確，因治療核心即限制水分攝取以矯正水滯留。選項 B 監測血壓、中心靜脈壓與血漿滲透壓正確，可反映體液容積與稀釋程度。選項 C 監測肌肉抽搐或昏迷正確，因血鈉過低會引發腦水腫與中樞神經症狀，是 SIADH 最需警覺的併發症。",[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？",6,1783840744981]