[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-068":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-110-1-內外科護理學-068","nurse-110-1-medical-surgical-068",110,1,68,"有關愛迪生氏危機（Addisonian crisis）之特徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"高血壓","高血糖","低血鉀","低血鈉","D",null,[],"本題考點在於愛迪生氏危機（Addisonian crisis）的病生理與電解質特徵。此危機源於腎上腺皮質功能急性不足，皮質醇與醛固酮嚴重缺乏，醛固酮不足使腎臟保鈉排鉀失衡，導致低血鈉，故選D。選項A錯在醛固酮不足使血管張力與血容量下降，表現為低血壓而非高血壓。選項B錯在皮質醇不足使糖質新生減少，出現低血糖而非高血糖。選項C錯在醛固酮不足時鉀離子排出減少，會出現高血鉀而非低血鉀。故電解質變化符合低皮質醇醛固酮狀態者為低血鈉。","腎上腺功能不足對照記憶：Addison（低下）＝低鈉、高鉀、低血糖、低血壓、皮膚色素沉著（ACTH升高刺激黑色素）；Cushing（過多）＝高鈉、低鉀、高血糖、高血壓、月亮臉水牛肩。Addisonian crisis常因感染、壓力、驟停類固醇誘發，屬內分泌急症，須緊急補充氫化可體松與生理食鹽水矯正低血容與低血鈉。醛固酮的口訣：「保鈉排鉀」，缺了就反過來。可連結：醛固酮、皮質醇、ACTH色素沉著、Cushing對比。",[24,27,29,32],{"term":25,"count":26},"愛迪生氏危機",3,{"term":28,"count":26},"低血鈉高血鉀",{"term":30,"count":31},"腎上腺皮質功能不足",2,{"term":33,"count":10},"醛固酮不足",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-069","有關嗜鉻細胞瘤的敘述，下列何者錯誤？",69,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-1-medical-surgical-005","有關巴金森氏症病人日常生活護理指導，下列何者錯誤？",5,111,{"webId":45,"stem":46,"number":47,"year":43,"session":31},"nurse-111-2-medical-surgical-019","王先生接受右側全髖關節置換術後出現胸痛、呼吸短促、皮膚蒼白、冰冷。下列何者是王先生最可能產生的術後合併症？",19,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-2-medical-surgical-057","有關單側自發性氣胸病人之身體檢查評估結果，下列何者錯誤？",57,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-3-medical-surgical-031","全身性紅斑性狼瘡屬於下列那一型之過敏反應？",31,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-025","有關病人接受靜脈輸注化學藥物時，若不慎藥物外滲之護理措施，下列何者正確？",25,115,"2026-09-04",1788510721428]