# 一位中樞性尿崩症個案接受desmopressin治療。哪項發現最能顯示對治療的預期反應？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498730&lang=zh-tw > language: zh-TW > subject: Postsurgical Complications > category: ROR ## 題目 一位中樞性尿崩症個案接受desmopressin治療。哪項發現最能顯示對治療的預期反應？ ## 選項 1. 尿量為 360 mL/hr，且尿液比重為 1.001 2. 尿量為 200 mL/hr，且血清鈉為 153 mEq/L 3. 尿量為 75 mL/hr，且尿液比重為 1.015 **✔ 正確答案** 4. 尿量為 25 mL/hr，且血清鈉為 128 mEq/L 伴隨頭痛 **正確答案: 3** ## 解析 Desmopressin取代抗利尿活性，因此有效的治療會減少過多的尿量並產生較濃縮的尿液。極低的尿量伴隨低血鈉及頭痛，暗示水分滯留過多，而非預期的平衡反應。 ## 深入解析 快速解答 較低且足夠的尿量，伴隨尿液濃縮度增加，顯示預期的抗利尿反應。 為什麼這是正確的 中樞性尿崩症因抗利尿激素活性缺乏，導致大量稀釋尿液。Desmopressin應減少尿量並增加尿液滲透壓或比重，同時維持安全的體液及鈉平衡。 簡單比喻或心智圖像 Desmopressin部分關閉了一個讓過多稀釋水分流失的排水口。期望的結果是控制流量，而非堵塞排水口，且此比喻不能取代鈉及神經學監測。 記憶掛鉤 有效的desmopressin使尿液不過量且更濃縮，而不會發生水中毒。 NCLEX 決策規則 評估抗利尿替代治療時，應將尿量與尿液濃縮度及鈉狀態配對。持續稀釋性多尿表示效果不足，而寡尿伴隨低血鈉症狀則暗示效果過度。 為什麼其他選項是錯的 大量稀釋尿液顯示持續性尿崩症。持續高血鈉伴隨多尿是反應不足，而極低尿量伴隨低血鈉及頭痛則表示水分中毒。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]DailyMed: Desmopressin Acetate Oral SolutionU.S. National Library of Medicine ## 相同主題題目 - [A 24-year-old patient is brought to the ED with a generalized tonic-clonic seizure that ha…](https://mymerci.kr/pages/nclex_q.php?qn_id=372718&lang=zh-tw) - [A 28-year-old patient with a T4 spinal cord injury 3 months ago is admitted with sudden se…](https://mymerci.kr/pages/nclex_q.php?qn_id=372742&lang=zh-tw) - [A patient who sustained blunt chest trauma 30 minutes ago is now in extreme respiratory di…](https://mymerci.kr/pages/nclex_q.php?qn_id=372743&lang=zh-tw) - [Two hours after abdominal surgery, a client has a saturated dressing, heart rate 126/min, …](https://mymerci.kr/pages/nclex_q.php?qn_id=393732&lang=zh-tw) - [A client scheduled for surgery tomorrow says, "I took my warfarin this morning like usual.…](https://mymerci.kr/pages/nclex_q.php?qn_id=394155&lang=zh-tw) - [A client is 6 hours postoperative after a thyroidectomy and develops stridor with increasi…](https://mymerci.kr/pages/nclex_q.php?qn_id=396608&lang=zh-tw) - [A client 2 hours after abdominal surgery has a heart rate of 122/min, blood pressure 86/50…](https://mymerci.kr/pages/nclex_q.php?qn_id=397167&lang=zh-tw) - [A client 12 hours after thyroidectomy reports tingling around the mouth and muscle cramps.…](https://mymerci.kr/pages/nclex_q.php?qn_id=397280&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498730&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498730&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498730&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498730&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498730&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_