[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-062":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-109-2-內外科護理學-062","nurse-109-2-medical-surgical-062",109,2,62,"有關導致腎病症候群病人全身水腫之病理機轉，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"因鈉離子滯留導致血管內靜力壓上升","因腎上腺功能不足而使醛固酮（aldosterone）分泌減少","腎絲球過濾率下降導致水分滯留","腎絲球通透性增加使蛋白質流失而導致白蛋白減少","D",null,[],"本題考點是腎病症候群（nephrotic syndrome）造成全身水腫的病理機轉。考點在於辨識腎絲球基底膜通透性增加，使大量白蛋白隨尿流失（蛋白尿），血漿白蛋白下降導致血漿膠體滲透壓降低，水分因而由血管滲入組織間隙形成水腫，故選D。A鈉離子滯留使血管內靜力壓上升是續發、次要因素，非主要起因。B敘述醛固酮分泌「減少」方向錯誤，腎病症候群因有效循環容積下降反而使醛固酮續發性增加而保鈉保水。C腎絲球過濾率下降是腎衰竭型水腫的機轉，非腎病症候群的核心。故主要機轉為D低白蛋白血症致膠體滲透壓下降。",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？",6,1783840755319]