[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-108-1-內外科護理學-067","nurse-108-1-medical-surgical-067",108,1,67,"有關甲狀腺機能低下病人的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"低血鈉","對熱敏感","皮膚出現凹陷性水腫","食慾降低且體重減輕","A",null,[],"本題考點在於甲狀腺機能低下的臨床表徵。甲狀腺素不足使全身代謝低落，並常伴抗利尿激素相對過多與水分滯留，可出現稀釋性低血鈉，故選 A。（B）錯在對熱敏感、怕熱多汗是代謝亢進的甲狀腺機能亢進表現；低下者反而怕冷。（C）錯在甲狀腺低下的水腫為黏液性水腫（myxedema），因黏多醣沉積、按壓不凹陷，並非凹陷性水腫。（D）錯在低下者代謝下降、食慾雖降但體重反而增加，而非減輕。","甲狀腺低下＝「全身踩剎車」：怕冷、遲鈍、便秘、心搏過緩、體重增加、黏液性水腫、低血鈉。低血鈉機轉在於腎自由水排除下降與 ADH 相對增加造成稀釋。黏液性水腫是親水性黏多醣（glycosaminoglycan）沉積於組織間隙，與心衰竭、腎病的凹陷性水腫不同。對比甲亢則為怕熱、消瘦、心悸、腹瀉、突眼。連結概念：稀釋性低血鈉、黏液性水腫、代謝率下降、TSH 上升 T4 下降。",[24,27,30,32,34],{"term":25,"count":26},"稀釋性低血鈉",8,{"term":28,"count":29},"甲狀腺機能低下",2,{"term":31,"count":29},"黏液性水腫",{"term":33,"count":29},"代謝率下降",{"term":35,"count":10},"體重增加怕冷",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-068","有關糖尿病病人運動之護理指導，下列何者正確？",68,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-109-1-medical-surgical-004","關於多發性硬化症的敘述，下列何者正確？①為中樞神經系統髓鞘脫失而影響神經傳導 ②吞嚥困難為早期出現臨床表徵 ③腦脊髓液檢查發現 IgG 抗體增加 ④感染會引發疾病惡化",4,109,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-109-2-medical-surgical-018","有關骨性關節炎的診斷檢查，下列何者正確？",18,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-110-2-medical-surgical-056","有關肋膜積水進行放液時，若一次超過 1,200 c.c.，可能會發生下列何種現象？",56,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-1-medical-surgical-020","有關骨質疏鬆症病人對於護理指導之回覆，下列何者表示病人已經清楚指導內容？",20,112,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-113-1-medical-surgical-004","有關阿茲海默氏症之敘述，下列何者錯誤？",113,"2026-09-04",1788510710098]