[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"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-110-2-內外科護理學-072","nurse-110-2-medical-surgical-072",110,2,72,"有關副甲狀腺機能亢進病人的臨床表徵，下列何者正確？①少尿 ②噁心 ③心律不整 ④骨鈣沉積",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②③","②④","C",null,[],"本題考點在副甲狀腺機能亢進的臨床表徵。副甲狀腺素分泌過多使骨鈣釋出、血鈣上升形成高血鈣,高血鈣會抑制腸胃道而噁心嘔吐(②),並干擾心肌電生理造成心律不整(③),故選C的②③。高血鈣使腎臟濃縮功能受損反而多尿而非少尿(①相反);骨骼因鈣質被分解釋出而流失、變得疏鬆易骨折,並非骨鈣沉積(④相反),故①④皆錯,非本題答案。","副甲狀腺素(PTH)作用:升血鈣、降血磷,即促骨鈣釋出、增腎鈣再吸收與活化維生素D促腸鈣吸收。機能亢進導致高血鈣,症狀口訣為石頭、骨頭、腹部呻吟、精神錯亂:腎結石、骨質流失與疼痛、噁心便秘消化性潰瘍、倦怠意識改變,並多尿多渴。記憶:高血鈣造成多尿(非少尿)、骨鈣流失(非沉積)。心電圖可見QT縮短。與副甲狀腺低下(低血鈣、手足抽搐、Chvostek徵象)恰相反。",[24,27,30,33,35],{"term":25,"count":26},"心律不整",5,{"term":28,"count":29},"高血鈣",4,{"term":31,"count":32},"副甲狀腺機能亢進",3,{"term":34,"count":10},"多尿",{"term":36,"count":37},"骨鈣流失",1,[39,43,48,53,58,63],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-110-2-medical-surgical-073","王先生，58 歲，罹患糖尿病 2 年，藉由口服抗血糖藥物、飲食與運動控制血糖，今日在家昏倒救護車送入急診，心跳 118 次／分，血壓 85\u002F50 mmHg，呼吸速率 20 次／分，血糖為 650 mg\u002FdL。下列何者為最可能之診斷？",73,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-2-medical-surgical-009","有關發炎性腸道疾病的敘述，下列何者正確？",9,111,{"webId":49,"stem":50,"number":51,"year":52,"session":37},"nurse-112-1-medical-surgical-023","有關鼻部手術後的護理指導，下列何者最不適宜？",23,112,{"webId":54,"stem":55,"number":56,"year":57,"session":37},"nurse-113-1-medical-surgical-011","有關骨折癒合階段照護之敘述，下列何者正確？",11,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-015","病人左耳聽力正常，右耳有聽力障礙，以韋伯試驗（Weber test）發現右耳比較大聲，再以任內試驗（Rinne test）發現左耳空氣傳導＞骨傳導、右耳空氣傳導≦骨傳導，下列何者是病人右耳最可能的病變位置？ ①外耳 ②中耳 ③內耳 ④耳蝸神經",15,114,{"webId":64,"stem":65,"number":46,"year":66,"session":37},"nurse-106-1-medical-surgical-009","王先生因直腸癌入院手術，醫師採用腹部會陰切除術及結腸造口術，術後 1 個月，教導王先生自我執行結腸灌洗之護理指導，下列何者錯誤？",106,"2026-09-04",1788510729478]