[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-114-3-內外科護理學-023","nurse-114-3-medical-surgical-023",114,3,23,"服用排鉀利尿劑的高血壓病人，出現肌肉無力、心悸等症狀，下列護理措施何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵多攝取香蕉、柑橘類水果","鼓勵盡量多下床活動","監測心率及心律變化","評估電解質變化","B",null,[],"本題考點在於服用排鉀利尿劑導致低血鉀的護理處置,本題為反向題,問「最不適當」者。考點在於安全與症狀連結:病人出現肌肉無力、心悸提示低血鉀,肌肉無力使跌倒風險升高,故『鼓勵盡量多下床活動』最不適當,選 B。A 鼓勵攝取香蕉、柑橘等高鉀食物以補充鉀離子,正確。C 監測心率與心律,因低血鉀可能誘發心律不整,正確。D 評估電解質變化以掌握血鉀,正確。三者皆針對低血鉀的補充與監測,唯 B 在肌肉無力狀態下鼓勵多活動,增加跌倒危險,因此最不適當。","袢利尿劑與噻嗪類屬排鉀利尿劑,長期使用易致低血鉀,表現為肌肉無力、疲倦、腸蠕動減弱、心悸與心電圖 U 波、心律不整,嚴重可致命。護理應補鉀(飲食或口服\u002F靜脈補充,靜脈補鉀須稀釋且勿快速推注)、持續心電監測與電解質追蹤,並因肌力下降落實跌倒防範。記憶:低血鉀肌肉軟,先補鉀顧安全,別催他猛下床。",[24,27,29],{"term":25,"count":26},"排鉀利尿劑低血鉀",1,{"term":28,"count":26},"高鉀飲食補充",{"term":30,"count":26},"跌倒與心律不整風險",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-024","有關使用主動脈氣球幫浦（IABP）病人的護理注意事項，下列敘述何者最適當？",24,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-020","有關下肢深部靜脈栓塞之症狀與評估，下列何者正確？",20,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-064","臨床上最可以早期診斷慢性腎絲球腎炎之檢查，下列何者正確？",64,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-022","有關青光眼藥物作用的敘述，下列何者正確？",22,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-066","有關腎盂腎炎的敘述，下列何者錯誤？",66,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-020","下列何者為骨髓炎病人的常見用藥？",110,"2026-09-04",1788510762055]