[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-108-2-內外科護理學-065","nurse-108-2-medical-surgical-065",108,2,65,"蔡先生主訴噁心、食慾不振，昨日嘔吐量約 150 c.c.\u002F天，排尿量 360 c.c.\u002F天，血清鉀 6.8 mEq\u002FL，下列處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"液體攝入量應限制在 510 c.c.\u002F天","給予 furosemide（lasix）引發利尿","給予 kayexalate 降低血鉀濃度","應採高熱量、低蛋白、低鹽飲食","A",null,[],"本題考點為急性腎衰竭少尿期合併高血鉀的處置正確性判斷。臨床限水量常以「前一日總排出量加不感性失水(約 500 mL)」估算，本病人前日尿量 360 mL 加嘔吐 150 mL 再加不感性失水約 500 mL，合理攝入量應約 1000 mL 左右，故將液體攝入限制在 510 c.c.\u002F天過度嚴苛、屬錯誤處置，選 A。選項 B 給予 furosemide 促進利尿與排鉀，適用於少尿期試圖增加尿量。選項 C 給予 kayexalate(陽離子交換樹脂)可經腸道置換排出鉀離子、降血鉀，正確。選項 D 高熱量、低蛋白、低鹽飲食可減少含氮廢物與鈉水負荷，為腎衰竭正確飲食原則。故錯誤者為限水過低。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840759334]