[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-108-2-內外科護理學-071","nurse-108-2-medical-surgical-071",108,2,71,"有關副甲狀腺機能亢進病人之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"鼓勵攝取乳製品","鼓勵攝取高鈣食物","鼓勵攝取低纖維食物","鼓勵攝取蔓越莓製品","D",null,[],"本題考點為副甲狀腺機能亢進病人的飲食護理指導。副甲狀腺亢進會過度分泌副甲狀腺素造成骨鈣釋出與高血鈣、高尿鈣，易形成尿路結石，故飲食應限鈣並酸化尿液以減少含鈣結石形成，鼓勵攝取可酸化尿液的蔓越莓製品，選 D。選項 A 鼓勵乳製品錯誤，乳製品為高鈣來源會加重高血鈣。選項 B 鼓勵高鈣食物錯誤，理由同上，會使血鈣與結石風險上升。選項 C 鼓勵低纖維食物錯誤，高血鈣易致便秘，反而應攝取足量纖維與水分。故酸化尿液、防結石的蔓越莓製品為正確指導。","副甲狀腺亢進=PTH↑→骨吸收↑、腸鈣吸收↑、腎回收鈣↑→高血鈣、低血磷，臨床見骨痛骨折、腎結石、便秘、多尿、意識改變(結石、骨痛、腹痛、精神症狀口訣 stones\u002Fbones\u002Fgroans\u002Fmoans)。護理:限鈣、多水分稀釋尿液、酸化尿液(蔓越莓、維生素 C)減少鈣鹽沉積、防跌倒與病理性骨折、預防便秘。與副甲低(低血鈣抽搐)恰相反。",[24,27,30,32,35],{"term":25,"count":26},"高血鈣",4,{"term":28,"count":29},"副甲狀腺機能亢進",3,{"term":31,"count":10},"尿路結石預防",{"term":33,"count":34},"蔓越莓酸化尿液",1,{"term":36,"count":34},"限鈣飲食",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-108-2-medical-surgical-072","有關代謝性酸中毒的症狀，下列何者正確？",72,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-2-medical-surgical-008","陳先生早上騎機車出門上班時，於十字路口與計程車擦撞倒地，同時頭部撞到地面，當時意識清楚但有多處擦傷及撕裂傷，由救護車送至急診室，當醫師正在縫合傷口時，陳先生突然喪失意識，其最大可能為下列何種頭部創傷？",8,109,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-110-1-medical-surgical-022","為了避免白內障手術病人植入之水晶體移位，返家後活動限制的護理指導，下列何者錯誤？",22,110,{"webId":53,"stem":54,"number":55,"year":56,"session":34},"nurse-111-1-medical-surgical-060","有關電解質失調之症狀評估結果，下列何者錯誤？",60,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-024","有關美尼爾氏症候群的症狀，下列何者錯誤？",24,112,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-113-2-medical-surgical-038","有關全髖關節置換術術後病人之陳述，下列何者顯示需要進一步的護理指導？",38,113,"2026-09-04",1788510706790]