[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-061","nurse-106-1-medical-surgical-061",106,1,61,"接受根除性腎臟切除術之病人，術後 24～48 小時需監測有無腎上腺功能不足之症狀，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"尿量減少","高血鈉","低血壓","意識程度改變","B",null,[],"本題考點為根除性腎切除術後腎上腺功能不足的表徵辨識，此題須選錯誤者。腎上腺皮質功能不足時醛固酮分泌下降，會出現保鈉排鉀失衡而造成低血鈉與高血鉀，並因血容積下降導致低血壓，故 B「高血鈉」的方向與機轉相反，為錯誤選項。A 尿量減少、C 低血壓、D 意識程度改變皆為腎上腺功能不足併循環灌流不足時的合理表現，故不選。","機轉:醛固酮↓→腎小管保鈉排鉀作用減弱→低血鈉、高血鉀;糖皮質素不足→低血糖、低血壓、倦怠。根除性腎切除易傷及同側腎上腺,術後 24～48 小時須警覺急性腎上腺功能不足(類似 Addisonian crisis),與本題連結。",[24,27,30,32],{"term":25,"count":26},"醛固酮",4,{"term":28,"count":29},"低血鈉高血鉀",3,{"term":31,"count":10},"腎上腺功能不足",{"term":33,"count":10},"根除性腎切除術",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-062","趙小姐有長期反覆性尿道感染的病史，健檢時發現有鹿角結石約 5 cm，下列敘述何者錯誤？",62,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-medical-surgical-078","有關末期腎疾病（ESRD）病人，因腎性貧血接受紅血球生成素（EPO）治療之準則，下列何者錯誤？",78,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-107-2-medical-surgical-012","有關胃潰瘍與十二指腸潰瘍之敘述，下列何者錯誤？",12,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-medical-surgical-050","評估右下肺葉時叩診出現濁音及聽診時呼吸音減弱，胸部 X 光檢查結果右側肋膜橫膈角呈鈍角，下列何者為病人最可能之診斷？",50,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-medical-surgical-014","下列何者不是結腸癌的典型臨床表徵？",14,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-medical-surgical-048","有關後天免疫缺乏症候群（Acquired Immunodeficiency Syndrome, AIDS）之敘述，下列何者錯誤？",48,111,"2026-09-04",1788510693274]