[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-106-2-內外科護理學-071","nurse-106-2-medical-surgical-071",106,2,71,"有關尿崩症病人的出院護理指導，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"教導自我注射藥物的方法","告知隨身攜帶識別卡","教導維持與測量體液狀態的方式","教導使用鼻噴霧劑，並須確認藥劑確實吸入肺部","D",null,[],"本題考點在尿崩症（DI）病人的自我照護重點。尿崩症因抗利尿激素（ADH／vasopressin）不足，腎臟無法濃縮尿液，治療核心是補充 desmopressin（DDAVP），常見劑型為鼻噴霧或注射。鼻噴霧劑作用部位是鼻黏膜吸收進入血液，藥物須噴於鼻腔黏膜而非「吸入肺部」，D 把給藥途徑講錯，故為不適當、選 D。A 對，注射型製劑須教會自我注射；B 對，病人需隨身攜帶識別卡以利急救時辨識用藥；C 對，尿崩症最大風險是脫水與電解質失衡，教導監測體液狀態（每日體重、尿量、口渴感）正是照護核心，屬適當指導。","記憶要點：DDAVP 鼻噴劑走「鼻黏膜吸收」路徑，與氣喘吸入劑（走肺部）完全不同，題目常以此設陷阱。尿崩症與 SIADH 恰為鏡像——DI 是 ADH 太少、多尿、高血鈉、脫水；SIADH 是 ADH 太多、少尿、低血鈉、水中毒。DI 監測指標可用口訣「重、尿、渴」（體重、尿量與尿比重、口渴程度），尿比重常低於 1.005。識別卡的意義在於病人一旦無法給藥或急救時，醫療人員能快速得知其須依賴外源性 ADH。",[24,27,29,32,34],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":10},"抗利尿激素ADH",{"term":30,"count":31},"desmopressin DDAVP",1,{"term":33,"count":31},"鼻黏膜給藥途徑",{"term":35,"count":31},"體液電解質監測",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-medical-surgical-072","為路倒者執行心肺腦復甦術期間，當接上電擊器顯示為心搏停止，此時應執行之急救措施，下列何者正確？",72,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-107-2-medical-surgical-008","有關腦血管攝影術後的護理措施，下列何者錯誤？",8,107,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-108-1-medical-surgical-022","有關視網膜剝離手術後病人護理措施之敘述，下列何者錯誤？",22,108,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-109-1-medical-surgical-060","血液透析病人之液體攝取量的估計原則，下列何者最適當？",60,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-medical-surgical-024","有關視網膜剝離病人的術後護理措施，下列何者錯誤？",24,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-2-medical-surgical-058","有關急性呼吸窘迫症候群（ARDS）病生理變化的敘述，下列何者正確？",58,111,"2026-09-04",1788510698930]