[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-111-1-內外科護理學-060","nurse-111-1-medical-surgical-060",111,1,60,"有關電解質失調之症狀評估結果，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"高血鈉症會致肌肉軟弱無力","低血鈣症常有凝血時間延長","低血鉀症常有便秘腹脹現象","低血鈣症易導致手足抽搐","A",null,[],"本題考點為電解質失調症狀評估的錯誤敘述。選項A稱高血鈉症會致肌肉軟弱無力，實際上高血鈉主要以口渴、躁動、神經興奮性增加及神經學症狀為主，而「肌肉軟弱無力」是低血鉀等其他失調的典型表現，敘述配對錯誤故選 A。B低血鈣時鈣為凝血因子輔因子而使凝血時間延長、C低血鉀致腸蠕動下降而便秘腹脹、D低血鈣提高神經肌肉興奮性致手足抽搐，皆為正確。判斷依據為各電解質失調的症狀對應是否吻合。","鈉主管滲透壓與神經傳導：高血鈉致細胞脫水、口渴、躁動、抽搐甚至意識改變；低血鈉致腦水腫、頭痛、意識混亂。鉀影響肌肉與心臟興奮性：低血鉀致肌無力、腸蠕動下降、心律不整與 U 波。鈣穩定神經膜：低血鈣提高興奮性（Chvostek、Trousseau 徵象、手足抽搐）並延長凝血。記憶：肌肉軟弱無力對應低血鉀，非高血鈉，是本題破綻。",[24,26,28,30],{"term":25,"count":10},"電解質失調",{"term":27,"count":10},"高血鈉症狀",{"term":29,"count":10},"低血鉀肌無力",{"term":31,"count":10},"低血鈣手足抽搐",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-061","林小姐食慾不振，嚴重水腫，無法平躺睡覺，至某醫學中心就診，抽血檢查結果血清 Creatinine=13.8 mg\u002FdL，eGFR=9.2 mL\u002Fmin\u002F1.73 m 2 ，依此結果，林小姐是處於慢性腎臟病（CKD）的第幾期？",61,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-077","有關服用有機磷中毒的護理措施，下列何者錯誤？",77,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-112-2-medical-surgical-011","有關消化性潰瘍的治療藥物，下列何者錯誤？",11,112,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-113-2-medical-surgical-029","有關全身性紅斑性狼瘡之醫療處置之敘述，下列何者錯誤？",29,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-033","有關急性呼吸衰竭之氧合與通氣的評估，下列敘述何者最適當？",33,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":10},"nurse-106-1-medical-surgical-077","有關食物中毒後有腦部神經症狀，包括複視、眼瞼下垂、視力模糊、吞嚥困難是屬於下列那一類食物中毒？",106,"2026-09-04",1788510734744]