[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-1-內外科護理學-037","nurse-109-1-medical-surgical-037",109,1,37,"有關癌症病人血鈣之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"癌細胞轉移到骨頭，會出現低血鈣的現象","白蛋白數值低下時需矯正鈣質數值，以免低估了高血鈣的狀況","高血鈣的治療是補充大量水分","利尿劑可促進腎臟對鈣的排泄","A",null,[],"本題考點在於癌症病人血鈣異常的判讀，屬選錯誤題。選項A「癌細胞轉移到骨頭會出現低血鈣」為錯誤，骨轉移或惡性腫瘤分泌類副甲狀腺荷爾蒙相關蛋白（PTHrP）會促使骨質溶解釋出鈣，導致「高血鈣」而非低血鈣，故應選A。選項B白蛋白低下時須以公式矯正血鈣（血鈣受白蛋白結合影響），以免低估實際游離鈣造成的高血鈣，正確；選項C高血鈣治療以大量靜脈輸注水化促進尿鈣排出，正確；選項D利尿劑（如furosemide）可促進腎臟排鈣，正確。故骨轉移致低血鈣的敘述有誤。","惡性腫瘤高血鈣機轉有二：骨轉移直接溶骨、或腫瘤分泌PTHrP的體液性高血鈣。症狀為「stones, bones, groans, psychiatric overtones」——結石、骨痛、腹脹便秘、意識改變。治療：生理食鹽水水化＋利尿排鈣，嚴重者用雙磷酸鹽（bisphosphonate）抑制蝕骨細胞。矯正鈣公式：實際鈣＝測得鈣＋0.8×(4－白蛋白)。",[24,27,29,31],{"term":25,"count":26},"惡性腫瘤高血鈣",2,{"term":28,"count":26},"PTHrP",{"term":30,"count":10},"骨轉移溶骨釋鈣",{"term":32,"count":10},"水化與利尿排鈣",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-038","有關食道靜脈曲張藥物治療之敘述，下列何者錯誤？",38,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-054","有關呼吸器出現壓力過低警示（low pressure alarm）之處理，下列何者最適當？",54,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-068","有關愛迪生氏危機（Addisonian crisis）之特徵，下列何者正確？",68,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-026","86 歲男性，長期高血壓，近日經醫師診斷為主動脈瓣狹窄，醫師建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用的敘述，下列何者正確？",26,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-medical-surgical-070","有關胰島素保存之護理指導，下列何者正確？",70,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-034","有關胸腔穿刺放液術檢查前之護理措施，下列何者最適當？",34,113,3,"2026-09-04",1788510712649]