[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-113-1-內外科護理學-043","nurse-113-1-medical-surgical-043",113,1,43,"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？",{"A":14,"B":15,"C":16,"D":17},"依醫囑補充3%生理食鹽水的靜脈輸液及注射furosemide（Lasix®）","鼓勵病人多攝取低纖食物","監測有無出現肌肉抽搐與昏迷的徵象","依醫囑限制水分攝取每日在1,000 c.c.以下","B",null,[],"本題考點在於抗利尿激素分泌不當症候群(SIADH)的照護,屬反向題,須找出錯誤者。SIADH因ADH過度分泌造成水分滯留、稀釋性低血鈉,照護核心是限制水分攝取,鼓勵多攝取低纖食物與此病理無關且非治療重點,故B錯誤。A正確,嚴重低血鈉可依醫囑補3%高張食鹽水並搭配furosemide促排水;C正確,低血鈉可致腦水腫、肌肉抽搐與意識改變須監測;D正確,限水(常每日\u003C1000mL)是SIADH的基本處置。","SIADH與尿崩症(DI)恰相反:SIADH是ADH過多→尿少濃、血鈉低、水滯留;DI是ADH不足→尿多稀、血鈉高、脫水。SIADH治療:限水為主,嚴重低血鈉(抽搐、昏迷)才謹慎給3%高張鹽水,並須緩慢矯正以防橋腦中央髓鞘溶解。低纖飲食與其機轉無關,故為答案。",[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":10},"高張食鹽水",[36,40,44,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-1-medical-surgical-044","有關雙胍類降血糖藥物metformin（Glucophage®）之敘述，下列何者錯誤？",44,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-113-3-medical-surgical-040","有關良性前列腺肥大之症狀與導因，下列何者正確？",40,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-114-2-medical-surgical-034","急性呼吸窘迫症候群（ARDS）病人產生表面張力素的肺細胞受損，會導致病人出現下列何種問題？",34,114,2,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-medical-surgical-032","有關心衰竭病人使用多巴胺（dopamine）之敘述，下列何者正確？",32,106,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-107-1-medical-surgical-076","中毒病人最優先之處置原則，下列何者正確？",76,107,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-108-2-medical-surgical-030","有關惡性貧血病人特徵之敘述，下列何者錯誤？",30,108,"2026-09-04",1788510750576]