[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":25},"nurse-106-1-內外科護理學-074","nurse-106-1-medical-surgical-074",106,1,74,"有關原發性醛固酮過多症之臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"低血鈉","低血鉀","代謝性酸中毒","低血容積","B",null,[],"本題考點為原發性醛固酮過多症的電解質與血壓變化。醛固酮過多會促進腎臟保鈉排鉀，並使氫離子隨鉀一起排出，故典型表現為高血鈉、低血鉀與代謝性鹼中毒，並因鈉水滯留造成高血壓與血容積增加，故選 B 低血鉀。A 應為高血鈉而非低血鈉;C 應為代謝性鹼中毒而非酸中毒;D 血容積應增加而非降低，三者皆與醛固酮作用機轉相反，故不選。","機轉一條龍:醛固酮↑→遠端腎小管保鈉(→高血鈉、水滯留、高血壓)、排鉀(→低血鉀、肌無力)、排氫(→代謝性鹼中毒)。與 Addison 氏病(醛固酮不足→低血鈉、高血鉀、低血壓)恰成鏡像對比,兩者一起記最有效率。",[24,26,29,32],{"term":15,"count":25},7,{"term":27,"count":28},"代謝性鹼中毒",6,{"term":30,"count":31},"原發性醛固酮過多症",3,{"term":33,"count":34},"保鈉排鉀",2,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-medical-surgical-075","有關心肺復甦術時胸部按壓之敘述，下列何者錯誤？",75,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-1-medical-surgical-011","有關潰瘍性結腸炎與區域性結腸炎之比較，下列何者錯誤？",11,107,{"webId":46,"stem":47,"number":48,"year":44,"session":34},"nurse-107-2-medical-surgical-025","有關白內障摘除術後預防眼壓上升的護理指導，下列何者正確？",25,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-108-2-medical-surgical-063","改善其酸鹼不平衡問題最有效的措施，下列何者正確？",63,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-medical-surgical-027","有關高血壓病人的飲食原則，下列何者不適當？",27,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-medical-surgical-061","林小姐食慾不振，嚴重水腫，無法平躺睡覺，至某醫學中心就診，抽血檢查結果血清 Creatinine=13.8 mg\u002FdL，eGFR=9.2 mL\u002Fmin\u002F1.73 m 2 ，依此結果，林小姐是處於慢性腎臟病（CKD）的第幾期？",61,111,"2026-09-04",1788510693438]