[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-069","nurse-107-1-medical-surgical-069",107,1,69,"有關服用甲狀腺素之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"會降低毛地黃的效應","會增加抗凝血劑的效應","新生兒儘早採低劑量治療","心絞痛病人應由大劑量開始使用","B",null,[],"本題考點為甲狀腺素(levothyroxine)的藥物交互作用與用藥原則。甲狀腺素會加速維生素K依賴性凝血因子的代謝,依此機轉會增強warfarin等抗凝血劑的效應,合併使用時出血風險上升,故B正確。C錯:新生兒先天性甲狀腺低下應「儘早、足量」治療以保護腦部發育,而非低劑量;D錯:心絞痛病人使用甲狀腺素應由「小劑量」開始,避免代謝率驟升增加心肌耗氧與心臟負荷。A敘述甲狀腺素與毛地黃的關係方向不明確,非本題標準正確敘述,故不選。","甲狀腺素提升整體代謝率,連帶影響多種藥物:加速凝血因子分解使warfarin作用增強(需回調抗凝劑量);甲狀腺功能亢進狀態會加速digoxin清除、使其血中濃度下降,故對毛地黃的影響並非單純「降低效應」而視甲狀腺狀態而定,屬本題較有爭議之敘述。臨床用藥原則:甲狀腺素宜空腹、早餐前30–60分鐘服用以利吸收,並與鈣片、鐵劑、制酸劑間隔數小時。心臟病人採「低劑量起始、緩慢調升」以策安全。",[24,27,29,31],{"term":25,"count":26},"先天性甲狀腺低下",2,{"term":28,"count":10},"甲狀腺素",{"term":30,"count":10},"抗凝血劑交互作用",{"term":32,"count":10},"低劑量起始原則",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-070","有關代謝性酸中毒造成之原因，下列何者錯誤？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-1-medical-surgical-006","病人突然左側肢體無力，由家屬送入急診，目前肌肉力量右側肢體 5 分、左手 3 分、左腳 1 分，請問最有可能是那一條腦血管的阻塞？",6,108,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-108-2-medical-surgical-020","有關鼻咽癌之敘述，下列何者錯誤？",20,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-medical-surgical-058","李同學在打籃球時突然感到左胸尖銳疼痛到急診求治，護理師視診發現李同學的左側胸部起伏較小，且氣管偏向右側，聽診發現左側肺部呼吸音減弱、叩診左側肺部出現過度反響音，此時李同學最可能發生下列何種情形？",58,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-medical-surgical-022","有關青光眼病人之護理措施，下列何者正確？",22,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-056","有關接受肺葉切除手術病人之護理，下列敘述何者正確？",56,112,"2026-09-04",1788510703113]