[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-071":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":10},"nurse-112-1-內外科護理學-071","nurse-112-1-medical-surgical-071",112,1,71,"承上題，陳小姐近期藥物治療反應不佳而入院接受甲狀腺切除術，有關甲狀腺切除手術，下列何者正確？①為維持正常的甲狀腺功能，一般採用次全甲狀腺切除 ②出血、聲門水腫、急性呼吸道阻塞為常見的術後合併症 ③術後聲音沙啞是因雙側喉返神經受傷所致 ④術後需評估病人有無肌肉抽搐之甲狀腺功能低下表徵",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","A",null,[],"本題考點在於甲狀腺切除手術的術式與併發症，正解為①②組合，選 A。①正確，為保留部分甲狀腺功能、減少術後永久性甲狀腺低下，甲亢手術多採次全甲狀腺切除；②正確，術後出血、聲門（喉頭）水腫與急性呼吸道阻塞是需嚴密監測的常見危急併發症。③錯誤，術後暫時性聲音沙啞多為單側喉返神經受損或水腫，雙側喉返神經受傷會造成嚴重呼吸道阻塞而非單純沙啞；④錯誤，術後應評估的是副甲狀腺受損導致低血鈣的肌肉抽搐，屬低血鈣（低副甲狀腺功能）表徵，而非甲狀腺功能低下，故不選含③④者。","甲狀腺術後三大立即危機：頸部出血壓迫氣道（床邊備氣切包與拆線器）、喉頭水腫、低血鈣抽搐。低血鈣源於副甲狀腺被誤傷或缺血，評估 Chvostek 與 Trousseau 徵象，備妥靜脈鈣劑。喉返神經單側傷致聲啞、雙側傷致氣道阻塞為緊急。次全切除保留殘餘功能。可連結術後聲音品質評估與呼吸窘迫的優先辨識順序。",[24,26,28,30,32],{"term":25,"count":10},"次全甲狀腺切除",{"term":27,"count":10},"術後出血與喉頭水腫",{"term":29,"count":10},"雙側喉返神經傷致氣道阻塞",{"term":31,"count":10},"副甲狀腺傷致低血鈣",{"term":33,"count":10},"肌肉抽搐",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-medical-surgical-072","承上題，有關陳小姐術後之護理指導，下列敘述何者正確？",72,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-medical-surgical-008","有關腹腔鏡檢查的敘述，下列何者正確？",8,3,{"webId":45,"stem":46,"number":47,"year":48,"session":47},"nurse-113-2-medical-surgical-002","有關顱底骨骨折病人有耳漏、鼻漏的評估與及處置，下列敘述何者錯誤？",2,113,{"webId":50,"stem":51,"number":52,"year":53,"session":47},"nurse-114-2-medical-surgical-050","有關困難梭狀桿菌相關腹瀉（Clostridium difficile associated diarrhea）之敘述，下列何者錯誤？",50,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-medical-surgical-054","病人移除人工氣道後，出現下列何種現象應做緊急處理？",54,106,{"webId":60,"stem":61,"number":42,"year":62,"session":47},"nurse-107-2-medical-surgical-008","有關腦血管攝影術後的護理措施，下列何者錯誤？",107,"2026-09-04",1788510742322]