[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-112-1-內外科護理學-004","nurse-112-1-medical-surgical-004",112,1,4,"有關腦腫瘤病人術後發生尿崩症，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"尿比重會比正常人高","會有尿量多、血漿滲透壓下降","因抗利尿素（ADH）分泌不足所致","可能有低血鈉導致抽搐症狀","C",null,[],"本題考點在於腦部術後尿崩症（diabetes insipidus）的病生理。依機轉，尿崩症因下視丘或腦下垂體後葉受損致抗利尿激素（ADH）分泌不足，腎小管無法回收水分，故 C「因 ADH 分泌不足所致」正確。A 錯在大量水分流失使尿液稀釋，尿比重反而偏低（＜1.005）而非偏高；B 錯在雖尿量多，但因水分大量排出使血漿滲透壓上升、血鈉升高，而非下降；D 錯在尿崩症呈現的是高血鈉（脫水），低血鈉抽搐反屬抗利尿激素分泌不當症候群（SIADH）的表現。故唯 C 正確描述 ADH 不足的核心成因。","尿崩症與 SIADH 恰為 ADH 的兩極對比：尿崩＝ADH 不足→多尿、低尿比重、高血鈉、高血漿滲透壓、脫水；SIADH＝ADH 過多→少尿、高尿比重、低血鈉、低血漿滲透壓、水中毒。腦部手術（近下視丘、腦下垂體）易傷及 ADH 分泌。記憶口訣「尿崩少 ADH、水狂流、血變濃鈉高」。",[24,27,30,32],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":29},"抗利尿激素 ADH",5,{"term":31,"count":10},"血漿滲透壓與血鈉",{"term":33,"count":10},"SIADH 對比",[35,38,43,48,53,58],{"webId":36,"stem":37,"number":29,"year":9,"session":10},"nurse-112-1-medical-surgical-005","有關顱內壓升高的藥物治療，下列敘述何者錯誤？",{"webId":39,"stem":40,"number":41,"year":9,"session":42},"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":44,"stem":45,"number":46,"year":9,"session":47},"nurse-112-3-medical-surgical-035","病人的動脈血液氣體分析報告為 pH 7.36，PaO 2 88 mmHg，PaCO 2 50 mmHg，HCO 3- 25 mEq\u002FL，下列措施何者應為最優先？",35,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-medical-surgical-033","有關急性呼吸窘迫症候群（ARDS）之敘述，下列何者正確？",33,114,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-115-2-medical-surgical-037","宋先生為肺心症病人，對於他出院居家護理指導，下列何者不適當？",37,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-1-medical-surgical-021","有關視網膜剝離時立即處理之敘述，下列何者錯誤？",107,"2026-09-04",1788510741721]