[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-109-2-內外科護理學-070","nurse-109-2-medical-surgical-070",109,2,70,"有關副甲狀腺功能低下病人之處置與護理，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"急性期給予口服 10% calcium gluconate","手足抽搐時，注射重碳酸鹽或磷酸鹽，以迅速增加血鈣濃度","床旁放置氣切包、氣管內管、喉頭鏡等物備用","鼓勵攝取乳酪、奶類製品、蛋黃、花椰菜","C",null,[],"本題考點是副甲狀腺功能低下病人的照護。此症因副甲狀腺素不足導致低血鈣，恐引發喉痙攣與呼吸道阻塞，故床旁備妥氣切包、氣管內管、喉頭鏡以因應急性呼吸道危機是正確措施，選項C為正解。選項A錯在急性低血鈣併手足抽搐時應「靜脈」緩慢注射10% calcium gluconate，口服起效太慢無法救急；選項B錯在治療手足抽搐應補鈣，注射磷酸鹽反而與鈣結合使血鈣更低，方向相反；選項D錯在乳酪、奶類、蛋黃、花椰菜含磷高，高血磷會壓低血鈣，飲食宜採高鈣低磷。","抓住主軸『低血鈣＝神經肌肉過度興奮』。副甲狀腺素（PTH）不足→骨鈣不釋出、腎保鈣減少、活化維生素D下降致腸鈣吸收差，血鈣一路走低。經典徵象是Chvostek氏徵（輕敲面神經引發面肌抽動）與Trousseau氏徵（上臂加壓充氣引發腕痙攣），嚴重時喉痙攣可致命，故備氣道用物。低血鈣與高血磷呈翹翹板關係，飲食須高鈣低磷；急救用靜脈鈣，長期以口服鈣加活性維生素D維持。與副甲狀腺「亢進」的高血鈣、骨質流失、腎結石恰為對照。",[24,27,29,32,34],{"term":25,"count":26},"副甲狀腺功能低下",7,{"term":28,"count":26},"低血鈣",{"term":30,"count":31},"手足抽搐",1,{"term":33,"count":31},"喉痙攣",{"term":35,"count":31},"高鈣低磷飲食",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-071","有關低血糖的敘述，下列何者正確？",71,{"webId":42,"stem":43,"number":26,"year":44,"session":10},"nurse-110-2-medical-surgical-007","下列何者為評估病人腦幹功能的檢查？",110,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-111-1-medical-surgical-021","有關骨折的癒合過程，下列順序何者正確？①血腫形成期 ②骨化期 ③細胞增生期 ④重塑期 ⑤骨痂形成期",21,111,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-112-1-medical-surgical-059","有關膀胱炎之敘述，下列何者最適宜？",59,112,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-113-2-medical-surgical-003","有關癲癇重積狀態（status epilepticus）的敘述，下列何者錯誤？",3,113,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-2-medical-surgical-047","由 119 救護車送來一位因車禍 OHCA（out of hospital cardiac arrest）的病人到急診，下列敘述何者正確？",47,114,"2026-09-04",1788510716951]