[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-110-2-內外科護理學-069","nurse-110-2-medical-surgical-069",110,2,69,"有關甲狀腺素製劑使用原則與注意事項，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"甲狀腺素製劑需終身服用，不可自行停藥或更改劑量","甲狀腺素會增加毛地黃、Ketamine 及抗凝血劑藥物作用","新生兒或嬰幼兒，應儘早採高劑量治療，以避免發育遲滯","服用甲狀腺素製劑會使血糖下降，糖尿病病人需監測血糖","D",null,[],"本題考點在甲狀腺素製劑的用藥原則。甲狀腺素會提升基礎代謝與肝糖分解,使血糖上升而非下降,糖尿病病人合併使用時可能需增加降血糖藥並監測血糖,故選項D稱使血糖下降敘述錯誤為答案。甲狀腺功能低下者須終身服藥、不可自行停藥或改量,選項A正確;甲狀腺素會增強毛地黃、Ketamine與抗凝血劑的作用,選項B正確;先天性甲狀腺低下的新生兒或嬰幼兒須儘早足量治療以避免智能與生長發育遲滯,選項C亦正確。","甲狀腺素(Levothyroxine)藥理:提高代謝率、心輸出、腸蠕動與血糖,故與毛地黃併用增心臟毒性風險、與抗凝血劑併用增出血風險、糖尿病人血糖升高需調整用藥。服用原則:早晨空腹、固定時間、終身服用,起始劑量老年與心臟病人宜低。記憶:甲狀腺素如同踩油門,代謝與血糖都往上。先天性甲狀腺低下(呆小症)及早治療是避免不可逆神經發育損害的關鍵。",[24,26,29,31,33],{"term":25,"count":10},"先天性甲狀腺低下",{"term":27,"count":28},"甲狀腺素製劑",1,{"term":30,"count":28},"血糖上升",{"term":32,"count":28},"毛地黃交互作用",{"term":34,"count":28},"終身服藥",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-070","有關康氏症候群（Conn’s syndrome）的臨床表徵，下列何者錯誤？",70,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-2-medical-surgical-006","有關巴金森氏症病人的臨床表徵，下列何者錯誤？",6,111,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-112-1-medical-surgical-020","有關骨質疏鬆症病人對於護理指導之回覆，下列何者表示病人已經清楚指導內容？",20,112,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"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？",8,113,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-114-2-medical-surgical-012","有關病人因左膝關節退化性關節炎接受全膝關節置換術之術後照護，下列何者最不適當？",12,114,{"webId":61,"stem":62,"number":43,"year":63,"session":28},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",106,"2026-09-04",1788510729448]