[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-107-1-內外科護理學-060","nurse-107-1-medical-surgical-060",107,1,60,"有關低血鈣臨床表徵之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"臉部肌肉出現痙攣稱之沃斯特克氏徵象（Chvostek’s sign）","全身肌肉無力、骨頭痠痛，容易發生跌倒、骨折","心電圖出現異常：ST 間隔變短，T 波變寬變平","胃腸蠕動變緩慢、出現腹脹、便秘情形","A",null,[],"本題考點在低血鈣的臨床表徵。依低血鈣使神經肌肉興奮性增高的機轉，輕敲面神經可誘發同側臉部肌肉抽動，即沃斯特克氏徵象（Chvostek's sign），為低血鈣的典型陽性表現，故選 A。B 全身肌肉無力、骨痛易骨折偏向高血鈣或骨病變表現。C 錯在低血鈣的心電圖為 QT 間期「延長」（ST 段延長），而非變短、T 波變寬平。D 胃腸蠕動變慢、腹脹便祕屬高血鈣（平滑肌張力下降）的表現。核心在辨識低血鈣以「神經肌肉過度興奮」為主軸。","低血鈣使細胞膜對鈉通透性增加、神經肌肉興奮閾值下降，故出現手足抽搐、口周麻木、Chvostek 徵象（叩面神經→臉抽）與 Trousseau 徵象（血壓計加壓上臂 3 分鐘→腕部痙攣），嚴重可致喉痙攣與癲癇；心電圖見 QT 延長，恐引發心律不整。相對地高血鈣（記法「石、骨、腹、精神」stones, bones, abdominal groans, psychiatric moans）表現為腎結石、骨痛、便祕與意識改變、心電圖 QT 縮短。甲狀腺／副甲狀腺術後為低血鈣高風險，須警覺抽搐與呼吸道徵象。",[24,27,29,31,33],{"term":25,"count":26},"低血鈣",7,{"term":28,"count":10},"神經肌肉興奮性增高",{"term":30,"count":10},"Chvostek 氏徵象",{"term":32,"count":10},"QT 間期延長",{"term":34,"count":10},"與高血鈣表現對比",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-medical-surgical-061","有關應力性尿失禁的處置方式，下列何者的治療效益有限？",61,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-107-2-medical-surgical-077","有關有機磷中毒臨床處置之敘述，下列何者錯誤？",77,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-108-2-medical-surgical-011","病人抽出腹水 1,500 mL 後，可能出現下列何種徵象？",11,108,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-109-2-medical-surgical-049","有關照護愛滋病人防護措施之敘述，下列何者正確？",49,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-medical-surgical-013","有關膈裂孔疝氣的敘述，下列何者正確？",13,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-047","有關細胞毒殺過敏反應之敘述，下列何者錯誤？",47,112,"2026-09-04",1788510703022]