[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-071","nurse-108-1-medical-surgical-071",108,1,71,"有關甲狀腺切除後可能發生的合併症，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"高血鈣","低血磷","體溫過低","喉返神經受損","D",null,[],"本題考點為甲狀腺切除術的解剖性合併症。甲狀腺兩葉後方緊貼喉返神經，手術牽拉或切斷會造成聲音沙啞甚至聲帶麻痺，故選 D。甲狀腺手術最危險的是傷及背側緊鄰的副甲狀腺，若一併切除或血流受損，副甲狀腺素分泌不足會使血鈣下降、血磷上升，因此正確方向應是「低血鈣、高血磷」；選項 A「高血鈣」方向相反、選項 B「低血磷」方向相反，皆與副甲狀腺功能低下的機轉不符。選項 C「體溫過低」錯在甲狀腺素過量釋出反而可能引發甲狀腺風暴而高燒，並非低體溫。喉返神經與副甲狀腺受損是此術式兩大經典考點，本題取喉返神經。","喉返神經（recurrent laryngeal nerve）由迷走神經分出，支配聲帶內收肌；單側受損聲音沙啞，雙側受損可致呼吸道阻塞而須緊急處置。副甲狀腺共四顆貼於甲狀腺背面，術後低血鈣典型表現為 Chvostek's sign（輕叩顏面神經引發臉部抽動）與 Trousseau's sign（壓脈帶充氣引發手部痙攣），可作記憶對比。口訣：副甲狀腺主鈣、缺了鈣就低、鈣低磷就高（鈣磷呈倒數關係）。連結概念：甲狀腺風暴、tetany（手足搐搦）、氣管壓迫與床邊備氣切包。",[24,27,30,32],{"term":25,"count":26},"副甲狀腺功能低下",7,{"term":28,"count":29},"低血鈣高血磷",3,{"term":31,"count":10},"喉返神經",{"term":33,"count":10},"鈣磷倒數關係",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-medical-surgical-072","有關庫欣氏症候群的診斷檢查，下列何者最具特異性？",72,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-1-medical-surgical-008","有關闌尾炎護理措施的敘述，下列何者正確？",8,109,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-109-2-medical-surgical-022","有關聽力喪失可聽見的音量敘述，下列何者錯誤？",22,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-110-2-medical-surgical-060","急性腎衰竭病人血清鉀為 7.2 mEq\u002FL，下列處置何者正確？①靜脈注射中長效胰島素及 5%葡萄糖溶液 ②口服或灌腸給予 Kayexalate ③靜脈注射重碳酸鈉 ④鼓勵多食用香蕉、柳丁",60,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-medical-surgical-024","有關喉癌病人接受全喉切除術的敘述，下列何者正確？",24,112,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-113-1-medical-surgical-008","有關不同部位腸造瘻特性之敘述，下列何者正確？",113,"2026-09-04",1788510710130]