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生理適應 · MEDIUM · MCQ

護理師照顧一名罹患尿崩症的個案。下列哪項實驗室檢驗值應預期會出現?

A nurse is caring for a client with diabetes insipidus. Which laboratory finding should the nurse anticipate?

  • ALow serum osmolality
    低血清滲透壓
  • BDecreased serum glucose
    血清葡萄糖降低
  • CElevated serum sodium level✓ 正解
    血清鈉濃度升高
  • DHigh urine specific gravity
    高尿液比重
Explanation · 中文詳解

尿崩症主因抗利尿激素分泌不足或作用異常,導致腎臟大量排尿。由於水分流失,血液濃縮,血清滲透壓升高,同時血鈉濃度亦因脫水而上升。A 錯誤:血清滲透壓會升高;D 錯誤:尿液比重會下降(因尿稀);B 錯誤:尿崩症與血糖無直接關係。

Clients with diabetes insipidus typically exhibit elevated serum sodium levels and increased serum osmolality due to excessive free water loss and subsequent hemoconcentration. Because the kidneys fail to concentrate urine, the urine specific gravity will be low rather than high. Blood glucose levels remain unaffected as this condition involves antidiuretic hormone issues, not insulin or glucose metabolism.

✦ 台美臨床差異

美國護理師對輸液平衡的執行更為嚴謹,台灣則常配合醫囑進行嚴格的出入量監測與限制。

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