[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-111-2-內外科護理學-035","nurse-111-2-medical-surgical-035",111,2,35,"有關多發性骨髓瘤病人的護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"避免接觸感冒的親友","避免運動以預防病理性骨折","建議穿上背架減輕骨骼壓力","鼓勵飲水以降低血鈣濃度","B",null,[],"本題考點為多發性骨髓瘤的護理指導,關鍵在骨骼病變與高血鈣的處理。此病漿細胞增生破壞骨質,並使免疫球蛋白異常、正常免疫下降,故須避免接觸感染源(A對);穿背架支撐脊椎、減輕骨骼壓力合理(C對);鼓勵飲水可稀釋血鈣、預防高血鈣與腎損傷(D對)。但完全避免運動並不正確,適度活動反可減緩骨質流失、預防高血鈣與血栓,應鼓勵在安全範圍內活動,故 B 敘述錯誤,為本題答案。","多發性骨髓瘤的四大表現可用「CRAB」記:Calcium(高血鈣)、Renal(腎功能不全)、Anemia(貧血)、Bone(溶骨性病變)。惡性漿細胞分泌破骨細胞活化因子,造成溶骨與病理性骨折,骨鈣釋出導致高血鈣。護理上須平衡「保護骨骼」與「避免完全臥床」:長期不動反而加速骨鈣流失、加重高血鈣並增加靜脈血栓與腎結石風險,故應鼓勵適度負重活動而非絕對禁止。大量水分攝取(2～3 L\u002F日)可降低血鈣濃度並保護腎小管免受本瓊氏蛋白傷害。",[24,27,30,32],{"term":25,"count":26},"多發性骨髓瘤",4,{"term":28,"count":29},"CRAB 表現",1,{"term":31,"count":29},"溶骨性病變與高血鈣",{"term":33,"count":29},"適度活動預防骨鈣流失",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-036","有關癌症疼痛三階梯止痛療法的敘述，下列何者正確？",36,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-medical-surgical-052","有關慢性咳嗽病人進行支氣管鏡檢查後，下列護理措施何者最適宜？",52,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-medical-surgical-066","黃女士的動脈血液氣體分析結果為完全代償性代謝性酸中毒，下列敘述何者正確？",66,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-medical-surgical-034","有關胸腔穿刺放液術檢查前之護理措施，下列何者最適當？",34,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-medical-surgical-038","有關感染性膀胱炎導因之敘述，下列何者最不適當？",38,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-medical-surgical-052","評估使用呼吸器病人其氣管內管位置正確性的方式，下列何者最適當？",106,"2026-09-04",1788510738544]