[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-111-1-內外科護理學-069","nurse-111-1-medical-surgical-069",111,1,69,"有關黏液水腫昏迷之檢查結果，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血清中 T 4 下降","血中 TSH 下降","血鈉下降","血糖下降","B",null,[],"本題考點在於黏液水腫昏迷(原發性甲狀腺功能低下危象)的實驗室變化。依下視丘—腦下垂體—甲狀腺負回饋軸,原發性甲狀腺功能低下時甲狀腺分泌 T4 不足,回饋刺激腦下垂體代償分泌,故 TSH 應「上升」而非下降,B 敘述錯誤,為本題答案。A 血清 T4 下降是甲狀腺低下的直接表現,正確。C 甲狀腺低下常合併抗利尿激素相對過多與排水障礙,出現稀釋性低血鈉,正確。D 代謝率降低與腎上腺功能不足可致低血糖,正確。","關鍵在區分「原發性」與「續發性」:原發性(甲狀腺本身壞)→T4 低、TSH 高;續發性(腦下垂體壞)→T4 低、TSH 也低。黏液水腫昏迷屬原發性居多,特徵是低體溫、低血鈉、低血糖、低血壓與意識改變,治療須靜脈注射甲狀腺素並保暖、矯正低血鈉。負回饋觀念是甲狀腺題型的核心判斷工具。",[24,27,30,33,35],{"term":25,"count":26},"甲狀腺功能低下",5,{"term":28,"count":29},"低血鈉",3,{"term":31,"count":32},"TSH 負回饋",2,{"term":34,"count":10},"黏液水腫昏迷",{"term":36,"count":10},"T4",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）之臨床表徵，下列何者錯誤？",70,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-006","有關巴金森氏症病人的日常活動指導，下列敘述何者錯誤？",6,112,{"webId":48,"stem":49,"number":50,"year":46,"session":32},"nurse-112-2-medical-surgical-020","有關接受關節腔鏡檢查病人的陳述，下列何者顯示需要進一步的護理指導？",20,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"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,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-114-3-medical-surgical-042","有關副甲狀腺功能低下病人之處置，下列敘述何者最不適當？",42,114,{"webId":62,"stem":63,"number":45,"year":64,"session":32},"nurse-106-2-medical-surgical-006","評估大腦各葉與腦幹功能常用之診斷檢查，下列何者正確？",106,"2026-09-04",1788510734837]