[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-060":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-111-2-內外科護理學-060","nurse-111-2-medical-surgical-060",111,2,60,"王先生因慢性腎臟病正服用血管收縮素轉化酶抑制劑（ACEI），有關 ACEI 的敘述，下列何者錯誤？.",{"A":14,"B":15,"C":16,"D":17},"可預防蛋白尿之產生","易有乾咳副作用","可能導致低血壓","可能導致低血鉀","D",null,[],"本題考點在於血管收縮素轉化酶抑制劑（ACEI）的作用與副作用，選錯誤者。ACEI 抑制醛固酮分泌，減少腎臟排鉀，故傾向造成「高血鉀」而非低血鉀，D 敘述錯誤為答案。考點在於 ACEI 對鉀離子的影響方向。A 正確，ACEI 擴張腎絲球出球小動脈、降低腎絲球內壓，可減少蛋白尿並保護糖尿病腎病變。B 正確，ACEI 使緩激肽（bradykinin）堆積，是乾咳這一典型副作用的機轉。C 正確，ACEI 降低周邊血管阻力，可能出現低血壓尤其首劑或血容量不足時。","ACEI 三大注意：乾咳（緩激肽）、高血鉀（醛固酮下降）、血管性水腫，並禁用於孕婦與雙側腎動脈狹窄。與保鉀利尿劑併用高血鉀風險加倍。腎保護機轉在於降低出球小動脈張力而減少高過濾與蛋白尿，故廣用於糖尿病腎病變。",[24,27,29,31],{"term":25,"count":26},"高血鉀",7,{"term":28,"count":10},"ACEI",{"term":30,"count":10},"緩激肽乾咳",{"term":32,"count":33},"腎保護作用",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-061","有關腎臟結石常見的臨床症狀，下列何者錯誤？",61,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-112-1-medical-surgical-077","下列何類休克有皮膚潮紅、溫暖的臨床徵象？①低血容性 ②敗血性 ③心因性 ④神經性",77,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-3-medical-surgical-011","有關急性胰臟炎的處置，下列敘述何者最不適當？",11,3,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-114-1-medical-surgical-009","有關胰臟炎急性發作及其治療的敘述，下列何者錯誤？",9,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-115-2-medical-surgical-013","有關病人接受白內障手術後 1 個月內之護理指導，下列何者不適當？",13,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-medical-surgical-077","針對心臟衰竭病人的評估結果，下列何者最需要護理師密切觀察？",106,"2026-09-04",1788510738784]