[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-111-1-內外科護理學-070","nurse-111-1-medical-surgical-070",111,1,70,"有關抗利尿激素分泌不當症候群（SIADH）之臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"通常是由泌尿道疾病引發","最常出現症狀是食慾不振","血鈉濃度會＜135 mEq\u002FL","病人會出現低尿酸血症","A",null,[],"本題考點在於抗利尿激素分泌不當症候群(SIADH)的成因與表徵。依 SIADH 病生理,ADH 過度分泌導致腎臟過度回收水分、體液滯留與稀釋性低血鈉,其常見誘因為中樞神經病變、肺部疾病(尤其小細胞肺癌)與某些藥物,而非「泌尿道疾病」,故 A 敘述錯誤,為本題答案。B 低血鈉會出現食慾不振、噁心等腸胃與神經症狀,正確。C 稀釋性低血鈉使血鈉 \u003C135 mEq\u002FL,正確。D 因水分滯留稀釋,血中尿酸也被稀釋而呈低尿酸血症,正確。","SIADH 與尿崩症(DI)恰為鏡像:SIADH 是 ADH 太多→留水→低血鈉、尿濃縮、尿少;DI 是 ADH 太少→排水→高血鈉、尿稀薄、多尿。SIADH 治療核心是限水,嚴重低血鈉時謹慎補鈉並避免過快矯正以防橋腦中央髓鞘溶解。記憶:SIADH=Soaked(泡水)—體液過多但血鈉被稀釋偏低。",[24,27,30,33,35],{"term":25,"count":26},"稀釋性低血鈉",8,{"term":28,"count":29},"SIADH",5,{"term":31,"count":32},"抗利尿激素",3,{"term":34,"count":32},"限水",{"term":36,"count":10},"低尿酸血症",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-medical-surgical-071","有關糖尿病病人足部護理，下列何者正確？①直線修剪趾甲緣 ②每日以溫水浸泡清洗足部 30 分鐘 ③穿著色深、柔軟的尼龍襪，且每日更換 ④足部傷口沖洗後，消毒敷料覆蓋，紙膠固定，應儘速就醫",71,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-007","進行意識評估，病人無法自動睜眼，叫喚才會睜開眼睛，人、地定向感清楚，但時間回答錯誤，能遵照指示做出正確的動作，其 GCS 昏迷量表，下列何者正確？",7,112,{"webId":48,"stem":49,"number":50,"year":46,"session":51},"nurse-112-2-medical-surgical-021","有關急性鼻竇炎的處置，下列何者錯誤？",21,2,{"webId":53,"stem":54,"number":55,"year":56,"session":51},"nurse-113-2-medical-surgical-039","有關尿失禁照護之敘述，下列何者正確？①凱格爾式運動可改善壓力性尿失禁 ②定時導尿法可改善滿溢性尿失禁 ③長期導尿管留置可改善急迫性尿失禁 ④膀胱訓練可改善完全性尿失禁",39,113,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-114-3-medical-surgical-043","有關原發性多醛固酮症（primary aldosteronism）的臨床表徵，下列敘述何者最適當？",43,114,{"webId":63,"stem":64,"number":45,"year":65,"session":51},"nurse-106-2-medical-surgical-007","有關叢性頭痛（cluster headaches）之敘述，下列何者錯誤？",106,"2026-09-04",1788510734915]