[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-106-2-內外科護理學-036","nurse-106-2-medical-surgical-036",106,2,36,"有關癌症病人臨床實驗室檢查結果之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"白血球數目一定是低於正常値","骨骼轉移，常出現高血鈣情形","化學治療破壞細胞，會使尿酸降低","腫瘤指標可作為診斷的依據","B",null,[],"本題考點是癌症病人常見的實驗室數據變化。依病生理,骨骼轉移使蝕骨細胞活性增加、骨質分解釋出鈣,常導致高血鈣,故(B)正確。(A)白血球不『一定』低於正常;感染或某些白血病時反而升高,絕對化敘述錯誤。(C)化學治療大量破壞細胞會釋放核酸代謝為尿酸,尿酸應『升高』(腫瘤溶解症候群),非降低。(D)腫瘤標記僅供篩檢與追蹤參考,特異性不足,不能單獨作為確診依據。故僅骨轉移致高血鈣正確。","腫瘤溶解症候群四聯:高血鉀、高尿酸、高血磷、低血鈣,好發於化療後大量細胞崩解,需水化與allopurinol或rasburicase預防。骨轉移的高血鈣則來自蝕骨活性,症狀有噁心、便秘、意識改變、多尿。確診癌症仍以病理切片為金標準,腫瘤標記僅輔助監測療效與復發。",[24,27,30,33],{"term":25,"count":26},"腫瘤標記",7,{"term":28,"count":29},"腫瘤溶解症候群",4,{"term":31,"count":32},"骨轉移高血鈣",1,{"term":34,"count":32},"尿酸",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-037","有關缺鐵性貧血口服鐵劑護理措施的敘述，下列何者錯誤？",37,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-medical-surgical-053","當發現胸腔術後病人的胸腔水下引流系統的水封瓶內出現大量氣泡時之處置，下列何者最適當？",53,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-medical-surgical-067","有關血液透析不平衡症候群之敘述，下列何者正確？",67,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-109-1-medical-surgical-025","一位 26 歲新婚女性，有計畫懷孕，近日因心臟不適，經醫師診斷二尖瓣狹窄，並建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用之敘述，下列何者最適當？",25,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-1-medical-surgical-069","有關嗜鉻細胞瘤的敘述，下列何者錯誤？",69,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-medical-surgical-023","有關美尼爾氏症候群（Meniere’s disease）病人的護理指導，下列何者錯誤？",23,111,"2026-09-04",1788510698576]