[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"精神科與社區衛生護理學","psychiatric-community",{"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":10},"nurse-107-1-精神科與社區衛生護理學-013","nurse-107-1-psychiatric-community-013",107,1,13,"思覺失調症病人當出現劇渴而有大量飲水的現象時，臨床上應採取那些醫療處置，以監測其飲水量？ ①估計晝間體重增加的百分比 ②測量尿比重 ③抽驗血鈉值 ④抽驗血鉀值",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點在於思覺失調症病人劇渴、大量飲水時，監測水分過量與水中毒的醫療處置。依精神性多渴導致的稀釋性低血鈉／水中毒機轉，應①估計晝間體重增加百分比（以體重反映水分滯留）、②測量尿比重（評估尿液稀釋程度）、③抽驗血鈉值（偵測低血鈉），這三項為正確監測，選 A（①②③）。④「抽驗血鉀值」為錯誤：大量飲水造成的主要電解質危機是稀釋性低血鈉，重點在鈉而非鉀，故不納入。掌握「多飲水＝水中毒＝盯體重、尿比重、血鈉」即可判斷。","精神性多渴（psychogenic polydipsia）在慢性思覺失調症並不少見，短時間攝入大量水分會稀釋血鈉，造成稀釋性低血鈉與水中毒，嚴重時出現噁心、頭痛、意識改變、抽搐甚至危及生命。監測策略對準「水分滯留與鈉稀釋」：以晝夜體重變化的百分比量化攝入過量的程度（常以晝間增重超過一定比例為警訊）、尿比重評估腎臟稀釋尿液的狀態、血鈉直接反映低鈉嚴重度。處置上會限水、監測與必要時矯正低血鈉（且須避免過快矯正）。本題陷阱在④把重點電解質誤植為鉀；水中毒的主角始終是「鈉被稀釋」。",[24,26,28,30],{"term":25,"count":10},"精神性多渴",{"term":27,"count":10},"水中毒",{"term":29,"count":10},"稀釋性低血鈉",{"term":31,"count":10},"尿比重與體重監測",[33,37,42,47,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-014","工作期是護理師與病人彼此已建立信任感，面對問題有共識，關於工作期的主要任務為下列何者？",14,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-030","「遺尿症（enuresis）」是指兒童在幾歲後仍會重複地尿濕衣服？",30,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-044","有關社區資料來源之描述，下列何者錯誤？",44,108,{"webId":48,"stem":49,"number":41,"year":50,"session":10},"nurse-110-1-psychiatric-community-002","當病人服用下列何種藥物時，護理師需教導病人有關體重增加之副作用？",110,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-psychiatric-community-046","某護理師欲探討罕見病例的危險因子，下列何種研究方法最適當？",46,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-psychiatric-community-080","有關衰弱（frailty）的敘述，下列何者最不適宜？",80,112,"2026-09-04",1788510704123]