[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-072":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-107-1-內外科護理學-072","nurse-107-1-medical-surgical-072",107,1,72,"有關尿崩症病人之照護與處置，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"腎原性尿崩症可透過限制飲食鹽分攝取，以緩解症狀","使用鼻噴劑型 DDAVP（Desmopressin）是補充抗利尿素最佳給藥途徑","限制每日水分攝取量，可避免出現代償性體液調節作用","需要密集監測生命徵象、每日體重變化、尿比重、電解質","C",null,[],"本題考點為尿崩症的體液管理原則。尿崩症因抗利尿素(ADH)不足或腎臟不反應,大量排出稀釋尿液,依此機轉病人核心風險是脫水與高血鈉,照護應「補充水分」而非限水,故C「限制每日水分攝取」不適當且危險。A腎原性尿崩症限制鈉攝取、搭配thiazide利尿劑可產生弔詭性減尿效果,屬合理處置;B鼻噴劑型DDAVP直接補充抗利尿素,是中樞性尿崩症的主要給藥途徑;D密集監測生命徵象、體重、尿比重與電解質,可及早發現脫水與電解質失衡,皆為適當照護。","區分兩型:中樞性(ADH分泌不足)對DDAVP有反應;腎原性(腎小管對ADH不反應)對DDAVP無效,改採低鹽飲食加thiazide利尿劑。尿崩症典型指標為多尿(每日>3公升)、尿比重\u003C1.005、尿滲透壓低而血漿滲透壓與血鈉偏高;剛好與抗利尿素分泌不當症候群(SIADH,水滯留、低血鈉)相反。護理重點是嚴密記錄輸出入量並確保飲水管道通暢,清醒病人依渴感補水通常足以維持平衡。",[24,27,29,31,33],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":10},"抗利尿素",{"term":30,"count":10},"DDAVP",{"term":32,"count":10},"腎原性尿崩症",{"term":34,"count":10},"體液平衡",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-medical-surgical-073","有關巴拉刈中毒之敘述，下列何者錯誤？",73,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-1-medical-surgical-009","有關預防傾倒症候群的敘述，下列何者正確？",9,108,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-108-2-medical-surgical-023","有關中心靜脈壓升高之原因，下列何者錯誤？",23,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-109-2-medical-surgical-061","有關壓力性尿失禁的治療與照護，下列何者錯誤？",61,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-medical-surgical-025","有關聽力喪失病人的護理指導，下列何者錯誤？",25,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-059","有關膀胱炎之敘述，下列何者最適宜？",59,112,"2026-09-04",1788510703141]