[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-1-內外科護理學-045","nurse-114-1-medical-surgical-045",114,1,45,"有關尿崩症病人之護理處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"應鼓勵病人多喝開水，以維持水分和體液電解質的平衡","噴灑鼻噴劑型desmopressin時，教導病人應吸氣以增加藥效","腎因性尿崩症應給與Thiazide利尿劑及限鹽攝取，以緩解症狀","Vassopressin Tannate是油性懸浮液，抽藥前需先溫熱與搖勻","B",null,[],"本題考點在於尿崩症的護理處置原則，屬反向題，須挑出錯誤者。依其病生理，尿崩症因抗利尿激素不足或腎臟反應不良致大量稀釋尿，故應鼓勵補充水分維持體液電解質平衡（A）、腎因性者給予Thiazide利尿劑並限鹽以矛盾性減少尿量（C）、油性懸浮液Vasopressin Tannate抽藥前須溫熱搖勻使均勻（D），皆正確。B說使用desmopressin鼻噴劑時應吸氣以增藥效則錯誤，用力吸氣會使藥液進入咽喉而降低鼻黏膜吸收，故B為本題答案。","尿崩症分中樞性（抗利尿激素分泌不足，補充desmopressin）與腎因性（腎小管對抗利尿激素反應不良，用thiazide造成輕度容量收縮以增加近端再吸收而反常減尿）。鼻噴劑型給藥應噴於鼻黏膜由局部吸收，避免深吸使藥液流入咽喉。護理監測重點在每日體重、尿比重、尿量與血鈉，防脫水與高血鈉。記憶點：中樞補激素、腎因用利尿劑。",[24,27,30,32],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":29},"抗利尿激素",3,{"term":31,"count":10},"desmopressin鼻噴劑給藥",{"term":33,"count":10},"腎因性尿崩症與Thiazide",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-medical-surgical-046","有關糖尿病足病人運動時鞋襪選擇之建議，下列何者錯誤？",46,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-114-3-medical-surgical-042","有關副甲狀腺功能低下病人之處置，下列敘述何者最不適當？",42,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-medical-surgical-036","下列何者是急性呼吸窘迫症候群（ARDS）早期的重要徵象？",36,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-medical-surgical-024","下列何者不是接受扁桃腺切除術之禁忌？",24,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-068","有關糖尿病病人運動之護理指導，下列何者正確？",68,108,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-109-2-medical-surgical-022","有關聽力喪失可聽見的音量敘述，下列何者錯誤？",22,109,"2026-09-04",1788510757589]