[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-108-2-內外科護理學-068","nurse-108-2-medical-surgical-068",108,2,68,"下列何種內分泌機能低下會造成黏液性水腫？",{"A":14,"B":15,"C":16,"D":17},"甲狀腺","副甲狀腺","腎上腺皮質","腦下垂體前葉","A",null,[],"本題考點為黏液性水腫(myxedema)所對應的內分泌機能低下腺體。黏液性水腫是甲狀腺機能低下的典型表現，因甲狀腺素不足使親水性黏多醣沉積於皮下組織造成非凹陷性水腫，故選甲狀腺，答案 A。選項 B 副甲狀腺主司鈣磷代謝，其機能低下造成低血鈣與抽搐(如手足抽搐)，並非黏液性水腫。選項 C 腎上腺皮質機能低下(如 Addison 氏病)表現為低血鈉、低血糖、色素沉著與低血壓，非黏液水腫。選項 D 腦下垂體前葉雖分泌 TSH 可間接影響甲狀腺，但黏液性水腫的直接病灶在甲狀腺素缺乏本身，故最直接對應者為甲狀腺。","甲狀腺低下(hypothyroidism)全身代謝下降：怕冷、體重增加、心搏過緩、便秘、反應遲鈍、黏液性水腫，嚴重可致黏液水腫昏迷。機轉為 glycosaminoglycan 在間質蓄積吸水。相對地甲狀腺亢進(Graves)則有突眼、怕熱、體重減輕、心悸。判題抓「myxedema=甲狀腺素不足」。中樞性(下垂體)甲低較少見且以甲狀腺為終端病灶。",[24,26,28,31,33],{"term":25,"count":10},"甲狀腺機能低下",{"term":27,"count":10},"黏多醣沉積",{"term":29,"count":30},"黏液性水腫 myxedema",1,{"term":32,"count":30},"甲狀腺素不足",{"term":34,"count":30},"非凹陷性水腫",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-medical-surgical-069","有關甲狀腺切除後病人的護理措施，下列何者正確？①注意有無聲音嘶啞 ②禁止深呼吸、咳嗽運動 ③喝溫開水減輕傷口不適 ④觀察口部刺麻感",69,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-2-medical-surgical-005","檢查時用手壓病人中指的遠心端，然後迅速彈開，病人會有大拇指的屈曲運動，此種現象稱為？",5,109,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-110-1-medical-surgical-019","下列何者為骨性關節炎的臨床表徵？",19,110,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-111-1-medical-surgical-057","有關肺栓塞的醫療處置，下列何者錯誤？",57,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-medical-surgical-021","有關急性鼻竇炎的處置，下列何者錯誤？",21,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-medical-surgical-035","下列何者不是肺氣腫病人的身體評估結果？",35,113,"2026-09-04",1788510706768]