[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-108-2-內外科護理學-074","nurse-108-2-medical-surgical-074",108,2,74,"有關水分剝削試驗（Water Deprivation Test）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"主要用來診斷尿崩症","病人限制飲水後，每小時採血液與尿液檢體","檢測檢體中滲透壓、鈣離子與鉀離子濃度","試驗期間需觀察病人的生命徵象、尿量、血中滲透壓與體重變化","C",null,[],"本題考點為水分剝削試驗(Water Deprivation Test)的目的與監測項目，須找出錯誤敘述。此試驗檢測的是限水後血漿與尿液的滲透壓及尿量、體重與血鈉變化，用以評估抗利尿激素分泌與腎臟濃縮能力，並非檢測鈣離子與鉀離子濃度，故「檢測檢體中滲透壓、鈣離子與鉀離子濃度」錯誤，選 C。選項 A 正確，此試驗主要用來診斷尿崩症。選項 B 正確，限制飲水後定時採血液與尿液檢體比較滲透壓變化。選項 D 正確，試驗中須密切監測生命徵象、尿量、血中滲透壓與體重，以防脫水風險。故錯在把監測項目寫成鈣、鉀。","尿崩症(DI)因 ADH 不足或腎不反應,尿液大量稀薄。水分剝削試驗原理:限水後正常人尿滲透壓上升、尿量減少;DI 者仍排大量稀尿、血漿滲透壓與血鈉上升、體重下降。再給 desmopressin 可區分中樞型(有反應)與腎性(無反應)。監測核心是「滲透壓、尿量、體重、血鈉」與脫水安全,與鈣鉀無關。",[24,27,30,32,34],{"term":25,"count":26},"抗利尿激素 ADH",5,{"term":28,"count":29},"水分剝削試驗",1,{"term":31,"count":29},"尿崩症診斷",{"term":33,"count":29},"血漿與尿液滲透壓",{"term":35,"count":29},"脫水監測",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-medical-surgical-075","病人發生休克時對肝臟系統之影響不包括下列何者？",75,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-109-2-medical-surgical-011","有關憩室炎常見的併發症，下列何者正確？①膿瘍 ②出血 ③胰臟炎 ④形成瘻管",11,109,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-110-1-medical-surgical-025","有關急性中耳炎之敘述，下列何者正確？",25,110,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-111-1-medical-surgical-063","張先生 50 歲，患有糖尿病腎病變，下列治療何項錯誤？",63,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-medical-surgical-027","有關第一期心臟復健，下列敘述何者錯誤？",27,112,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-113-2-medical-surgical-041","同時會出現在腎病症候群與急性腎絲球腎炎之臨床表徵，下列何者正確？①水腫 ②高血脂 ③蛋白尿 ④血尿",41,113,"2026-09-04",1788510706807]