[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-106-1-內外科護理學-005","nurse-106-1-medical-surgical-005",106,1,5,"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？",{"A":14,"B":15,"C":16,"D":17},"尿的顏色很淡","尿比重\u003C 1.005","血清鈉（Na + ）\u003C 125 mEq\u002FL","若不治療則會出現脫水的症狀","C",null,[],"本題考點為腦下垂體術後尿崩症(DI)的臨床表現,屬找錯誤敘述題。依尿崩症的機轉,抗利尿激素(ADH)分泌不足使腎臟無法濃縮尿液,故排出大量稀釋尿、尿色很淡、尿比重小於1.005,且水分大量流失導致血鈉「升高」與脫水。C敘述血清鈉小於125 mEq\u002FL屬低血鈉,那是抗利尿激素分泌不當症候群(SIADH)的表現而非尿崩症,故C錯誤。A、B為稀釋尿的正確表現,D不治療會脫水亦正確。","DI 與 SIADH 為 ADH 過與不及的鏡像:DI 為 ADH 不足→多尿、尿稀、高血鈉、脫水;SIADH 為 ADH 過多→少尿、尿濃、低血鈉、水中毒。經蝶骨手術會擾動腦下垂體後葉致暫時性 DI,護理需嚴密記錄輸出入量、尿比重與血鈉,必要時補充 desmopressin。",[24,27,30,33],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":29},"尿比重",4,{"term":31,"count":32},"抗利尿激素",3,{"term":34,"count":10},"SIADH鑑別",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"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,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-106-2-medical-surgical-022","有關美尼爾氏症之敘述，下列何者正確？",22,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-medical-surgical-036","有關癌症疼痛治療三階段給藥之敘述，下列何者正確？①定時給藥 ②需要時給藥 ③口服優先 ④先考慮靜脈注射給藥 ⑤優先考慮低效性麻醉劑 ⑥先從非麻醉性製劑開始",36,107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-1-medical-surgical-074","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？",74,108,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-109-2-medical-surgical-038","醫師告知王先生罹患多發性骨髓瘤，王先生問護理師這是什麼病，下列何者是護理師最適當的回覆？",38,109,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-110-2-medical-surgical-072","有關副甲狀腺機能亢進病人的臨床表徵，下列何者正確？①少尿 ②噁心 ③心律不整 ④骨鈣沉積",72,110,"2026-09-04",1788510692660]