[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-073","nurse-111-1-medical-surgical-073",111,1,73,"有關甲狀腺功能低下症之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"服用甲狀腺素時採飯後使用，以避免胃酸增加","使用甲狀腺素藥物時須監測血糖之變化","給予病人電毯或熱水袋，以增加舒適及保暖","鼓勵採高熱量、低纖維、低脂肪飲食","B",null,[],"本題考點在於甲狀腺功能低下症的用藥與護理措施。依甲狀腺素(levothyroxine)藥理與代謝影響,補充甲狀腺素會提升代謝率並影響血糖與其他藥物代謝,尤其合併糖尿病時須監測血糖變化,故 B 正確,為本題答案。A 甲狀腺素應「空腹」服用以利吸收,飯後服用會降低吸收,錯誤。C 甲狀腺低下者感覺遲鈍且皮膚脆弱,使用電毯或熱水袋易造成無察覺的燙傷,應避免直接熱源,錯誤。D 甲狀腺低下者代謝率低、易便秘與體重增加,飲食應採「高纖維、低熱量」以助排便與控重,「高熱量、低纖維」方向相反,錯誤。","levothyroxine 給藥重點:清晨空腹、與食物及鈣鐵制酸劑間隔至少 30～60 分鐘以免影響吸收,須長期規則服用不可自行停藥。甲狀腺低下的整體表現是「代謝變慢」——怕冷、便秘、體重增、心搏慢、反應遲鈍,護理方向皆圍繞此主軸:保暖但避直接熱源、高纖防便秘、監測心律。開始補充後代謝上升可能改變胰島素或降血糖藥需求,故須監測血糖。",[24,27,29,31,33],{"term":25,"count":26},"甲狀腺功能低下",5,{"term":28,"count":10},"levothyroxine",{"term":30,"count":10},"空腹給藥",{"term":32,"count":10},"血糖監測",{"term":34,"count":10},"避免直接熱源",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-medical-surgical-074","有關糖尿病酮酸中毒（DKA）與高滲透壓高血糖狀態（HHS）之臨床處置，下列何者正確？",74,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-medical-surgical-010","進行內視鏡逆行性膽胰攝影檢查，若導管不易進入總膽管，可使用下列何種藥物讓歐迪氏括約肌（sphincter of Oddi）鬆弛？",10,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-2-medical-surgical-024","有關美尼爾氏症候群的症狀，下列何者錯誤？",24,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-113-2-medical-surgical-042","有關腎上腺皮質功能低下症之敘述，下列何者錯誤？",42,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-medical-surgical-046","小明在登山途中不慎被一條青色的蛇咬傷，下列敘述何者最適當？",46,114,3,{"webId":62,"stem":63,"number":43,"year":64,"session":49},"nurse-106-2-medical-surgical-010","有關肛門瘻管手術治療後之合併症，下列何者最少見？",106,"2026-09-04",1788510735088]