[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-075","nurse-111-1-medical-surgical-075",111,1,75,"有關使用 Spironolactone（Aldactone）藥物指導之敘述，下列何者正確？①須注意鉀離子濃度 ②須注意鎂離子濃度 ③鼓勵多食用柑橘類食物 ④不宜食用芭樂",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","B",null,[],"本題考點在於保鉀型利尿劑 Spironolactone(Aldactone)的用藥指導。依其藥理,Spironolactone 拮抗醛固酮而保留鉀離子,故①須密切注意鉀離子濃度以防高血鉀,正確;④芭樂等富含鉀的水果應限制以免加重高血鉀,「不宜食用芭樂」正確;故正解為①④,選 B。②該藥主要影響鉀而非鎂,監測重點不在鎂離子,故將重點放在鎂並不恰當。③鼓勵多吃柑橘類等高鉀食物會與保鉀作用疊加造成高血鉀,方向錯誤。","利尿劑分兩大陣營:保鉀型(Spironolactone、Amiloride)易致高血鉀,須限高鉀食物並監測 K⁺;排鉀型(Furosemide、Thiazide)易致低血鉀,反而要補鉀。Spironolactone 為醛固酮受體拮抗劑,同時用於心衰竭與肝硬化腹水,副作用還包括男性女乳症。記憶:名字有「醛固酮 aldosterone→Aldactone」的就是保鉀、怕高血鉀、少吃香蕉芭樂。",[24,27,30,32,34],{"term":25,"count":26},"高血鉀",7,{"term":28,"count":29},"醛固酮拮抗劑",2,{"term":31,"count":29},"限鉀飲食",{"term":33,"count":10},"Spironolactone",{"term":35,"count":10},"保鉀型利尿劑",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-medical-surgical-076","下列何者不是休克時會發生之代償機轉？",76,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-medical-surgical-012","有關肝活體組織切片檢查，下列敘述何者正確？",12,112,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-112-2-medical-surgical-026","有關心肌病變臨床表徵之敘述，下列何者錯誤？",26,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-113-2-medical-surgical-044","有關尿崩症臨床表徵之敘述，下列何者錯誤？",44,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-medical-surgical-048","嚴重特殊傳染性肺炎（COVID-19）病人之呼吸照護，下列敘述何者最適當？",48,114,3,{"webId":62,"stem":63,"number":44,"year":64,"session":29},"nurse-106-2-medical-surgical-012","有關食道癌的敘述，下列何者錯誤？",106,"2026-09-04",1788510735249]