[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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":25},"nurse-114-3-內外科護理學-043","nurse-114-3-medical-surgical-043",114,3,43,"有關原發性多醛固酮症（primary aldosteronism）的臨床表徵，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"低代謝率","低血糖","高血鈣","低血鉀","D",null,[],"本題考點在於原發性多醛固酮症(primary aldosteronism)因醛固酮過度分泌的臨床表徵。正解D:醛固酮作用於腎遠曲小管促進「保鈉排鉀」,分泌過多時大量排出鉀離子,造成「低血鉀」與伴隨的肌肉無力,同時鈉水滯留導致高血壓與代謝性鹼中毒,故低血鉀最符合。A錯誤,低代謝率屬甲狀腺功能低下的表現,與醛固酮無關;B錯誤,血糖調節主要受胰島素、升糖素等影響,醛固酮不造成低血糖;C錯誤,醛固酮調節的是鈉、鉀與水分,與血鈣升高無直接關係。故選D。","醛固酮為鹽皮質激素,受RAAS(腎素-血管收縮素-醛固酮系統)調控。Conn's症候群典型三聯:高血壓、低血鉀、代謝性鹼中毒,血漿醛固酮與腎素比值(ARR)升高可協助診斷。低血鉀導致肌無力、心律不整、多尿。記憶:「留鹽留水、排鉀排氫→高壓、低鉀、鹼中毒」。治療用醛固酮拮抗劑(Spironolactone)或手術切除腺瘤。",[24,26,29,32],{"term":17,"count":25},7,{"term":27,"count":28},"代謝性鹼中毒",6,{"term":30,"count":31},"原發性多醛固酮症",1,{"term":33,"count":31},"醛固酮保鈉排鉀",[35,39,45,50,55,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-044","下列何種激素與調整血糖濃度無關？",44,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-medical-surgical-040","有關接受膀胱鏡檢查病人的護理指導，下列何者不適當？",40,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-106-2-medical-surgical-004","有關出血性腦中風病人的護理措施，下列何者正確？",4,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-medical-surgical-042","有關缺鐵性貧血病人鐵劑補充之敘述，下列何者錯誤？",42,107,{"webId":56,"stem":57,"number":28,"year":58,"session":31},"nurse-109-1-medical-surgical-006","75 歲老人最近心情抑鬱，對外在環境興趣缺缺，腦部電腦斷層顯示腦組織萎縮、腦溝變大，下列何者為其最可能診斷？",109,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-medical-surgical-040","有關預防乳癌病人術後淋巴水腫的照護，下列敘述何者正確？",110,"2026-09-04",1788510762214]