[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":25},"nurse-107-2-內外科護理學-073","nurse-107-2-medical-surgical-073",107,2,73,"有關康氏症候群（Conn’s syndrome）之臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"男性女乳症","低血鉀","低血鈉","代謝性酸中毒","B",null,[],"本題考點在康氏症候群(Conn's syndrome,原發性醛固酮過多症)的臨床表徵。依內分泌機轉,醛固酮過度分泌促使腎臟保鈉排鉀,結果為低血鉀、高血鈉、高血壓與代謝性鹼中毒,故正確者選 B 低血鉀。選項 C 錯,應為高血鈉而非低血鈉;選項 D 錯,應為代謝性鹼中毒而非酸中毒,因鉀離子流失與氫離子排出增加;選項 A 男性女乳症與腎上腺皮質其他荷爾蒙(如雌激素)過多有關,並非醛固酮過多的表現。故辨識重點在醛固酮『保鈉排鉀排氫』所致的低血鉀、鹼中毒與高血壓。","醛固酮作用於腎遠曲小管與集尿管:重吸收鈉與水、排出鉀與氫。原發性醛固酮過多(常因腎上腺腺瘤)→高血壓、低血鉀(肌無力、心律不整)、代謝性鹼中毒、高血鈉,血漿腎素受抑制而下降。對比續發性則腎素上升。口訣:醛固酮=留鈉留水、丟鉀丟氫→高血壓、低血鉀、鹼中毒。",[24,26,29,32],{"term":15,"count":25},7,{"term":27,"count":28},"代謝性鹼中毒",6,{"term":30,"count":31},"康氏症候群",3,{"term":33,"count":31},"原發性醛固酮過多症",[35,39,44,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-074","有關長期服用 prednisolone 的護理指導，下列何者錯誤？",74,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-medical-surgical-010","有關小腸阻塞的臨床表徵，下列何者正確？",10,108,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-109-1-medical-surgical-024","有關喉癌病人接受全喉切除術後之護理處置，下列何者錯誤？",24,109,1,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-110-1-medical-surgical-062","有關尿液檢查目的之敘述，下列何者正確？",62,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-medical-surgical-026","86 歲男性，長期高血壓，近日經醫師診斷為主動脈瓣狹窄，醫師建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用的敘述，下列何者正確？",26,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-2-medical-surgical-060","有關前列腺癌之敘述，下列何者錯誤？",60,112,"2026-09-04",1788510725537]