[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-070","nurse-111-2-medical-surgical-070",111,2,70,"有關抗利尿激素分泌不當症候群（SIADH）的護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"須限制液體，故每天液體攝入不超過 500 mL","向病人說明使用四環素主要目的是為了預防感染","跟病人解釋頭部最好保持平躺，以防腦水腫","教導病人攝取高纖、含鈉的食物，以改善便秘","B",null,[],"本題考點在於抗利尿激素分泌不當症候群（SIADH）的護理指導，選錯誤者。SIADH 治療可用去甲金黴素（demeclocycline，一種四環素）來拮抗 ADH 對腎小管的作用、促進排水以矯正低血鈉，其目的是「治療低血鈉」而非預防感染，故 B 敘述錯誤為答案。考點在於此藥的用途是抗 ADH 而非抗菌。A 正確，SIADH 需限水（常≤500–1000 mL\u002F天）以避免水中毒。C 正確，頭部保持平躺可增加靜脈回流、刺激感壓受器抑制 ADH 分泌，並防腦水腫。D 正確，衛教攝取高纖與含鈉食物以改善便秘並補充流失的鈉。","SIADH 為 ADH 過多致水滯留、稀釋性低血鈉（血鈉↓、尿鈉↑、尿滲透壓↑、血滲透壓↓）。核心處置為限水，嚴重可用高張食鹽水（緩慢矯正防橋腦髓鞘溶解），慢性者用 demeclocycline 或 vaptan 類拮抗 ADH。與尿崩症（ADH 不足、多尿脫水）恰為對照。",[24,27,30,33],{"term":25,"count":26},"稀釋性低血鈉",8,{"term":28,"count":29},"SIADH",5,{"term":31,"count":32},"限水",3,{"term":34,"count":35},"demeclocycline 抗 ADH",1,[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-medical-surgical-071","有關糖尿病酮酸中毒（DKA）病人的呼吸特徵，下列何者正確？",71,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-2-medical-surgical-007","關於腦瘤伽馬刀（gamma knife）立體定位放射線手術之敘述，下列何者正確？①適用於直徑小於 3 公分腫瘤 ②不會有手術切開傷口 ③治療時間約需半小時 ④使用碘放射線射入腫瘤以破壞腫瘤細胞",7,112,{"webId":47,"stem":48,"number":49,"year":45,"session":32},"nurse-112-3-medical-surgical-021","有關生物性心瓣膜特性的敘述，下列何者錯誤？",21,{"webId":51,"stem":52,"number":53,"year":54,"session":35},"nurse-114-1-medical-surgical-019","有關急性心肌梗塞引起的心因性休克給予的藥物處置，下列敘述何者錯誤？",19,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-115-2-medical-surgical-023","有關癌症病人出現食慾不振之護理措施，下列何者最適當？",23,115,{"webId":61,"stem":62,"number":44,"year":63,"session":35},"nurse-107-1-medical-surgical-007","有關多發性硬化症的敘述，下列何者錯誤？",107,"2026-09-04",1788510738877]