[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-067","nurse-107-1-medical-surgical-067",107,1,67,"有關副甲狀腺機能亢進病人之臨床表徵，下列何者正確？①便祕 ②低血鈣 ③骨質疏鬆 ④心律不整 ⑤高血磷",{"A":14,"B":15,"C":16,"D":17},"①②③","①③④","②④⑤","③④⑤","B",null,[],"本題考點為副甲狀腺機能亢進的血鈣血磷變化與臨床表徵。副甲狀腺素(PTH)過度分泌會促進骨鈣釋出、腎臟保鈣排磷,依此機轉會造成「高血鈣、低血磷」,故正確組合為①便祕、③骨質疏鬆、④心律不整,選B。高血鈣抑制腸胃蠕動導致便祕①;骨鈣持續流失造成骨質疏鬆③;鈣為心肌興奮性離子,高血鈣干擾心臟傳導引發心律不整④。②低血鈣方向相反(應為高血鈣)、⑤高血磷方向相反(應為低血磷),故排除含②⑤的選項。","PTH三大作用:骨(破骨釋鈣)、腎(遠曲小管保鈣、近曲小管排磷)、腸(活化維生素D間接促鈣吸收),整體推向血鈣升高、血磷降低。高血鈣症狀記憶:「stones(結石)、bones(骨痛骨鬆)、abdominal groans(便祕腹痛、消化性潰瘍)、psychic moans(倦怠、精神症狀)」。與此相反的副甲狀腺低下則低血鈣、高血磷,出現手足抽搐與Chvostek、Trousseau徵象。",[24,27,30,33,35],{"term":25,"count":26},"心律不整",5,{"term":28,"count":29},"副甲狀腺機能亢進",3,{"term":31,"count":32},"高血鈣低血磷",2,{"term":34,"count":32},"骨質疏鬆",{"term":36,"count":10},"副甲狀腺素",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-107-1-medical-surgical-068","有關糖尿病性酮酸中毒病人的臨床表徵，下列何者正確？",68,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-004","有關脊髓損傷所引起的神經性膀胱之敘述，下列何者正確？",4,108,{"webId":48,"stem":49,"number":50,"year":46,"session":32},"nurse-108-2-medical-surgical-018","有關中耳手術後病人護理措施及指導之敘述，下列何者錯誤？",18,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-109-2-medical-surgical-056","下列動脈血液氣體分析的報告，何者最能顯示慢性阻塞性肺疾病（COPD）病人的情況惡化？",56,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-medical-surgical-020","有關痛風藥物 Probenecis（Benemid）的主要作用，下列何者正確？",20,111,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-112-1-medical-surgical-054","有關病人的肺部身體評估，下列結果何者異常？",54,112,"2026-09-04",1788510703090]