[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"產兒科護理學","maternal-pediatric",{"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":10},"nurse-108-1-產兒科護理學-075","nurse-108-1-maternal-pediatric-075",108,1,75,"小明，15 歲，因慢性腎衰竭而引發副甲狀腺功能亢進（Hyperparathyroidism），血鈣質為 12 mg\u002FdL，骨骼 X 光顯示脫鈣現象。相關的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"維持足夠的水分攝取，減少腎結石產生","為預防骨折發生，下床活動必要時可穿硬背心","心尖脈監測需測滿 1 分鐘，注意有無心律不整","建議服用維生素 C，以促進鈣質排出","D",null,[],"本題考點在副甲狀腺功能亢進致高血鈣（12 mg\u002FdL）的護理，須選出錯誤者。維生素 C 並無促進鈣質排出的作用，且維生素 C 代謝為草酸反而增加腎結石風險，故選項 D「服用維生素 C 以促進鈣質排出」錯誤，即為答案。選項 A 正確，維持充足水分可稀釋尿鈣、減少腎結石形成。選項 B 正確，高血鈣致骨質脫鈣易骨折，下床活動可用硬背心保護脊椎。選項 C 正確，高血鈣會影響心臟傳導，須測心尖脈滿 1 分鐘注意心律不整。","高血鈣症狀口訣「stones, bones, groans, moans」——腎結石、骨痛脫鈣、腹痛便秘、精神症狀，並縮短 QT 間期致心律不整。降鈣處置以水化、利尿（furosemide 促尿鈣排出，而非維生素 C）、限鈣為主。副甲狀腺素（PTH）作用：升血鈣、降血磷（促腎排磷、活化維生素 D 增腸鈣吸收、動員骨鈣）。可連結概念：PTH、鈣磷平衡、心尖脈與心律不整、與第 076 題副甲狀腺低下的鏡像對照。",[24,26,28,30],{"term":25,"count":10},"副甲狀腺功能亢進",{"term":27,"count":10},"高血鈣症",{"term":29,"count":10},"維生素 C 與腎結石",{"term":31,"count":10},"心律不整監測",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-076","副甲狀腺功能低下（Hypoparathyroidism）的兒童會出現的臨床表徵，下列何者正確？",76,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-109-1-maternal-pediatric-012","第二產程胎頭娩出時，為了減少會陰部撕裂傷，下列措施何者較不適當？",12,109,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-109-2-maternal-pediatric-026","有關產後生殖器官的復舊過程，下列何者正確？",26,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-110-2-maternal-pediatric-064","有關兒童毛地黃（Digoxin）給藥之護理指導，下列敘述何者正確？",64,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-028","有關產婦乳腺炎的評估及照護，下列敘述何者錯誤？",28,112,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-113-1-maternal-pediatric-012","王女士，初產婦，陰道生產，採純母乳哺育，產後6週重返職場的一週後，主訴發燒38℃，右側乳房情況如圖所示，觸診溫熱且有痛感。最可能的診斷是？",113,"2026-09-04",1788510710856]