[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-2-內外科護理學-068","nurse-111-2-medical-surgical-068",111,2,68,"有關甲狀腺風暴的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病人臨床檢驗結果出現血中游離甲狀腺素（free T 4 ）與 TSH 上升","評估病人是否出現發燒、心跳過速、脫水及暴躁不安之徵象","依醫囑給予 β-腎上腺素阻斷劑（Propranolol），以降低心搏速率","依醫囑給予抑制甲狀腺素合成與釋放藥物，如：Methimazole (Tapazole)","A",null,[],"本題考點在於甲狀腺風暴的檢驗與處置，選錯誤者。甲狀腺風暴是甲狀腺功能亢進的急性惡化，游離甲狀腺素（free T4）上升的同時，TSH 因負回饋抑制而「下降」而非上升，故 A 敘述錯誤為答案。考點在於甲亢時 T4 與 TSH 呈相反方向變化。B 正確，甲狀腺風暴典型徵象包括高燒、心搏過速、脫水與躁動不安。C 正確，Propranolol 為 β-腎上腺素阻斷劑，可控制心搏過速並減緩交感過度活性。D 正確，Methimazole 可抑制甲狀腺素合成，是控制甲亢的抗甲狀腺藥物。","原發性甲亢負回饋：T3\u002FT4↑ 抑制腦下垂體，故 TSH↓（TSH↑僅見於少見的腦下垂體性甲亢）。甲狀腺風暴治療四步：抗甲狀腺藥（PTU\u002FMethimazole）阻合成、碘劑阻釋放（需在抗甲狀腺藥後給）、β阻斷劑控症狀、類固醇抑周邊 T4→T3 轉換，並積極降溫補液。",[24,26,28,30],{"term":25,"count":10},"甲狀腺風暴",{"term":27,"count":10},"TSH 負回饋",{"term":29,"count":10},"Propranolol",{"term":31,"count":32},"Methimazole",1,[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-069","有關庫欣氏症候群（Cushing’s syndrome）的飲食指導，下列何者錯誤？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-medical-surgical-005","有關病人因腦腫瘤引起顱內壓升高的症狀與徵象，下列敘述何者錯誤？",5,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-medical-surgical-019","有關 Dopamine 作用的敘述，下列何者正確？①2 μg\u002Fkg\u002Fmin 會增加心肌的自動性，因此可減少心室節律障礙 ②可治療低血容量性休克 ③5～10 μg\u002Fkg\u002Fmin 主要作用是增加腎血流量 ④大於10 μg\u002Fkg\u002Fmin 作用是末梢血管收縮",19,3,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-114-1-medical-surgical-017","有關裝置永久性心臟節律器病人居家護理指導之敘述，下列何者錯誤？",17,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-021","有關癌細胞特性的敘述，下列何者正確？",21,115,{"webId":59,"stem":60,"number":41,"year":61,"session":32},"nurse-107-1-medical-surgical-005","江小姐因頸椎滑脫須使用床頭式骨骼牽引 Gardner-Wells Tongs traction 讓頸椎復位，下列敘述何者正確？",107,"2026-09-04",1788510738863]