[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-069":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-112-2-內外科護理學-069","nurse-112-2-medical-surgical-069",112,2,69,"有關愛迪生氏危機病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"監測生命徵象、輸出入量、電解質","執行限水計畫，每天攝水量少於 1,000 c.c.","鼓勵攝取含鈉及高蛋白質食物","指導病人避免攝取香蕉、南瓜","B",null,[],"本題考點在愛迪生氏危機的護理措施，屬反向題,要找出錯誤者。依其病生理，腎上腺皮質功能急遽不足使醛固酮與皮質醇缺乏，導致鈉離子與水分大量流失、血容量不足與低血鈉,治療核心是補充水分與鈉離子,錯誤敘述為 B(執行限水、每日攝水少於 1,000 c.c. 反而加重脫水與循環衰竭)。A 監測生命徵象、輸出入量、電解質以掌握循環與電解質變化,正確。C 鼓勵攝取含鈉及高蛋白食物,補鈉並維持營養,正確。D 香蕉、南瓜含鉀高，病人易因醛固酮不足而高血鉀,故指導避免高鉀食物,正確。","愛迪生氏危機(腎上腺危象)是皮質醇與醛固酮急性缺乏的急症，表現低血壓、低血鈉、高血鉀、低血糖與脫水，常由感染、壓力、突然停用類固醇誘發。急救三支柱:靜脈輸注生理食鹽水擴容、靜脈給予 hydrocortisone、矯正低血糖。飲食記憶「缺鹽要補鈉、鉀高要限鉀」,故限水方向錯誤。對比庫欣氏症(皮質醇過多)之高血鈉、低血鉀、高血糖恰相反。可連結電解質失衡與類固醇替代治療複習。",[24,27,29,32,34],{"term":25,"count":26},"愛迪生氏危機",3,{"term":28,"count":26},"低血鈉高血鉀",{"term":30,"count":31},"醛固酮皮質醇缺乏",1,{"term":33,"count":31},"補鈉補水",{"term":35,"count":31},"避免高鉀食物",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-medical-surgical-070","有關胰島素保存之護理指導，下列何者正確？",70,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-113-1-medical-surgical-036","有關慢性阻塞性肺疾病（COPD）病人飲食指導之敘述，下列何者較適當？①進食時可將氧氣面罩更換為氧氣套管 ②選擇易咀嚼食物 ③增加碳水化合物 ④減少水分的攝取",36,113,{"webId":47,"stem":48,"number":49,"year":45,"session":26},"nurse-113-3-medical-surgical-030","有關類風濕性關節炎臨床表徵之敘述，下列何者錯誤？①症狀通常兩側對稱性地發生 ②活動後有僵硬的現象 ③通常侵犯大關節 ④可能造成腕隧道症候群",30,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-115-1-medical-surgical-028","長期臥床病人採仰臥姿勢時，下列何者是皮膚壓力性損傷較不常發生的部位？",28,115,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-medical-surgical-052","評估使用呼吸器病人其氣管內管位置正確性的方式，下列何者最適當？",52,106,{"webId":61,"stem":62,"number":63,"year":64,"session":31},"nurse-108-1-medical-surgical-006","病人突然左側肢體無力，由家屬送入急診，目前肌肉力量右側肢體 5 分、左手 3 分、左腳 1 分，請問最有可能是那一條腦血管的阻塞？",6,108,"2026-09-04",1788510747883]