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生理適應 · MEDIUM · MCQ

護理師照護一位尿崩症(Diabetes Insipidus)病人,預期會出現哪些症狀?

A nurse is caring for a client with diabetes insipidus. Which findings should the nurse expect?

  • AHigh urine specific gravity
    高尿比重
  • BPolyuria and polydipsia✓ 正解
    多尿和多飲
  • COliguria and weight gain
    少尿和體重增加
  • DHypertension and bradycardia
    高血壓和心動過緩
Explanation · 中文詳解

尿崩症(Diabetes Insipidus, DI)是因為抗利尿激素(ADH)缺乏或腎臟對其反應不足,導致腎臟無法重吸收水分。臨床表現為大量稀釋的尿液(多尿,Polyuria)與因脫水引起的極度口渴(劇渴,Polydipsia)。尿液因缺乏溶質而變得極度稀釋,尿比重(Specific gravity)會非常低(通常低於 1.005)。高血壓與少尿通常是體液過多或腎衰竭的表現,與尿崩症的脫水表現相反。

Diabetes insipidus (DI) is caused by a deficiency of antidiuretic hormone (ADH) or a lack of renal response to it, leaving the kidneys unable to reabsorb water. Clinically, this produces large volumes of dilute urine (polyuria) and extreme thirst due to dehydration (polydipsia). Because the urine lacks solutes, it becomes very dilute, with a very low specific gravity (typically less than 1.005). Hypertension and oliguria are findings of fluid overload or renal failure and are the opposite of the dehydration seen in diabetes insipidus.

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