[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-080":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":26},"nurse-107-2-內外科護理學-080","nurse-107-2-medical-surgical-080",107,2,80,"有關血中賀爾蒙於休克代償機轉中之變化，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"醛固酮 aldosterone 上升","促腎上腺皮質激素（ACTH）上升","腎素 renin 下降","抗利尿激素（ADH）上升","C",null,[],"本題考點在休克代償機轉中的神經內分泌變化。依生理,休克時血壓與有效循環量下降,腎臟灌流減少會刺激腎絲球旁器分泌『腎素(renin)』上升,啟動腎素-血管收縮素-醛固酮系統以保鈉保水、升高血壓,故『腎素下降』的敘述錯誤,選 C。選項 A 正確,醛固酮上升以保鈉保水;選項 B 正確,壓力下 ACTH 上升促皮質醇分泌;選項 D 正確,抗利尿激素(ADH)上升以保水並收縮血管。三者皆為維持血壓與血容量的代償,唯腎素應上升而非下降,故 C 為錯誤敘述。","休克代償以維持血壓與器官灌流為目標:交感神經興奮→心跳加快、血管收縮;腎素-血管收縮素-醛固酮系統活化(腎素↑→血管收縮素 II↑→血管收縮+醛固酮↑保鈉水);ADH↑保水縮血管;ACTH-皮質醇↑動員能量並維持血管張力。臨床見尿量減少、心跳快、四肢冰冷。口訣:休克時該升的都升——腎素、醛固酮、ADH、ACTH 全上調。",[24,27,30,32],{"term":25,"count":26},"抗利尿激素 ADH",5,{"term":28,"count":29},"休克代償機轉",3,{"term":31,"count":10},"腎素-血管收縮素-醛固酮系統",{"term":33,"count":34},"醛固酮與 ACTH",1,[36,40,44,49,54,59],{"webId":37,"stem":38,"number":34,"year":39,"session":34},"nurse-108-1-medical-surgical-001","有關測量病人昏迷量表（Glasgow Coma Scale, GCS）之敘述，下列何者錯誤？",108,{"webId":41,"stem":42,"number":43,"year":39,"session":10},"nurse-108-2-medical-surgical-017","針對退化性關節炎病人之護理指導，下列何者不適當？",17,{"webId":45,"stem":46,"number":47,"year":48,"session":34},"nurse-109-1-medical-surgical-031","下列血脂肪之檢驗值何者不正常？",31,109,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-110-1-medical-surgical-069","有關嗜鉻細胞瘤的敘述，下列何者錯誤？",69,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-033","有關搭飛機長程旅行後常會出現深部靜脈栓塞的主要原因，下列何者正確？",33,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-067","有關皮質醇（Cortisol）之敘述，下列何者正確？",67,112,"2026-09-04",1788510725600]