[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-108-1-內外科護理學-074","nurse-108-1-medical-surgical-074",108,1,74,"有關抗利尿素分泌不當症候群（SIADH）病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"遵守與執行限制液體措施","密切監測血壓、中心靜脈壓及血漿滲透壓的變化","監測有無出現肌肉抽搐或昏迷等中樞神經傷害","預防與高血鈉有關的潛在性傷害","D",null,[],"本題考點為抗利尿素分泌不當症候群（SIADH）的水電解質方向，題目要選「錯誤」的護理措施。SIADH 因 ADH 過度分泌使水分滯留，造成稀釋性低血鈉，而非高血鈉；選項 D 說要預防「高血鈉」相關傷害，方向完全相反，故選 D。選項 A 限水正確，因治療核心即限制水分攝取以矯正水滯留。選項 B 監測血壓、中心靜脈壓與血漿滲透壓正確，可反映體液容積與稀釋程度。選項 C 監測肌肉抽搐或昏迷正確，因血鈉過低會引發腦水腫與中樞神經症狀，是 SIADH 最需警覺的併發症。","SIADH 與尿崩症恰為一對鏡像：SIADH 是 ADH 太多、水滯留、血液被稀釋、血鈉低、尿濃縮；尿崩症是 ADH 太少、大量排稀薄尿、血鈉高。SIADH 血液特徵為低血鈉、低血漿滲透壓，但尿液反而濃縮（尿鈉、尿滲透壓偏高）。治療首重限水，嚴重低血鈉需緩慢矯正以免橋腦中央髓鞘溶解。記憶口訣：SIADH＝Sodium Is Always Down Here（鈉一路往下）。連結概念：稀釋性低血鈉、血漿滲透壓、腦水腫。",[24,27,30,32],{"term":25,"count":26},"稀釋性低血鈉",8,{"term":28,"count":29},"SIADH",5,{"term":31,"count":10},"限水治療",{"term":33,"count":10},"血漿滲透壓下降",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-medical-surgical-075","依據吳先生目前的生理狀態，下列何者正確？",75,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-1-medical-surgical-011","腸道檢查前一日，可以攝取之飲食，下列何者較適當？",11,109,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-109-2-medical-surgical-025","有關白內障之敘述，下列何者錯誤？",25,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-110-2-medical-surgical-063","下列何者於檢查後，不會出現血尿情況？",63,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-medical-surgical-027","有關裝置植入式自動心律轉換去顫器（AICD）病人居家護理指導之敘述，下列何者錯誤？",27,112,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-113-1-medical-surgical-011","有關骨折癒合階段照護之敘述，下列何者正確？",113,"2026-09-04",1788510710158]