[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-044":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-107-2-內外科護理學-044","nurse-107-2-medical-surgical-044",107,2,44,"有關腫瘤溶解症候群之敘述，下列何者正確？①高血鉀症 ②高血鈣症 ③要補充大量水分 ④使用 kayexalate 可降低鈉離子 ⑤allopurinol 可降尿酸",{"A":14,"B":15,"C":16,"D":17},"①②③","①③⑤","②④⑤","③④⑤","B",null,[],"本題考點是腫瘤溶解症候群(TLS)的電解質變化與處置。大量腫瘤細胞崩解釋出胞內物質,造成①高血鉀、高血磷、高尿酸,並因磷結合鈣而低血鈣;處置須③大量水分促排並⑤以 allopurinol 抑制尿酸生成,故①③⑤正確,選 B。②應為低血鈣而非高血鈣,錯誤;④kayexalate(聚苯乙烯磺酸鈉)是以鈉離子交換降『鉀』而非降鈉,敘述錯誤。","TLS 四電解質口訣『鉀磷酸高、鈣低』:高鉀、高磷、高尿酸、低鈣(磷酸鈣沉積)。高尿酸與磷酸鈣沉積於腎小管導致急性腎損傷。預防處置:大量靜脈輸液水化、allopurinol 或 rasburicase 降尿酸、kayexalate 與胰島素葡萄糖降鉀。好發於化療高度敏感的大腫瘤負荷(白血病、淋巴瘤)。",[24,27,29,32,35],{"term":25,"count":26},"高血鉀",7,{"term":28,"count":26},"低血鈣",{"term":30,"count":31},"腫瘤溶解症候群",4,{"term":33,"count":34},"allopurinol",1,{"term":36,"count":34},"水化",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-107-2-medical-surgical-045","關於瀰漫性血管內凝血病人的敘述，下列何者代表護理師需要重新指導預防出血的方法？",45,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-108-1-medical-surgical-061","下列何者是男性較常出現的尿失禁型態？",61,108,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-108-2-medical-surgical-075","病人發生休克時對肝臟系統之影響不包括下列何者？",75,{"webId":52,"stem":53,"number":54,"year":55,"session":34},"nurse-110-1-medical-surgical-033","有關心臟循環動力學的敘述，下列何者錯誤？",33,110,{"webId":57,"stem":58,"number":59,"year":60,"session":34},"nurse-111-1-medical-surgical-077","下列何種情況最可能引發神經性休克？",77,111,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-112-2-medical-surgical-031","有關風濕熱與風濕性心臟病之敘述，下列何者錯誤？",31,112,"2026-09-04",1788510725286]