[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-113-1-內外科護理學-042","nurse-113-1-medical-surgical-042",113,1,42,"有關原發性醛固酮過多症之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需觀察病人有無肌肉軟弱無力、疲倦、麻痹、心律不整等臨床表徵","需觀察病人有無強直性痙攣和呼吸抑制情形","教導病人飲食中應多補充高鈉食物，例如火腿、香腸、起司等","需注意病人血壓的變化，有無血壓過高情形","C",null,[],"本題考點在於原發性醛固酮過多症(primary aldosteronism)的護理,屬反向題,須找出錯誤者。醛固酮過多會促使腎臟保鈉排鉀,造成高血鈉、低血鉀與高血壓,故飲食應限制鈉攝取,教導病人多補充火腿、香腸、起司等高鈉食物與病理相悖,C錯誤。A正確,低血鉀會致肌肉無力、麻痹與心律不整需觀察;B正確,低血鉀影響神經肌肉,須留意手足抽搐等;D正確,鈉水滯留致高血壓須監測血壓。","醛固酮作用於遠曲小管與集尿管:保鈉保水、排鉀排氫。故原發性醛固酮過多(如Conn症候群)典型三聯:高血壓、低血鉀、代謝性鹼中毒。護理重點在補鉀、限鈉、監測血壓與心律。治療含醛固酮拮抗劑spironolactone或腎上腺腺瘤切除。C的高鈉飲食完全相反故為答案。",[24,27,30,32],{"term":25,"count":26},"低血鉀",7,{"term":28,"count":29},"原發性醛固酮過多症",3,{"term":31,"count":29},"高血壓",{"term":33,"count":34},"限鈉飲食",2,[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-1-medical-surgical-043","有關抗利尿激素分泌不當症候群（SIADH）病人的臨床照護，下列何者錯誤？",43,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-113-3-medical-surgical-039","有關體外震波碎石術之敘述，下列何者錯誤？",39,{"webId":45,"stem":46,"number":47,"year":48,"session":34},"nurse-114-2-medical-surgical-033","有關預防吸入性肺炎病人之護理措施，下列何者最不適當？",33,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-031","急性心肌梗塞後，下列何種心肌酶指標最快恢復正常？",31,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-075","在急救過程中需為成年病人放置氣管內插管之敘述，下列何者錯誤？",75,107,{"webId":60,"stem":61,"number":62,"year":63,"session":34},"nurse-108-2-medical-surgical-029","有關骨掃描的敘述，下列何者正確？",29,108,"2026-09-04",1788510750572]