[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-內外科護理學-059","nurse-112-2-medical-surgical-059",112,2,59,"有關多重共病腎衰竭病人之服藥注意事項，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"糖尿病腎病變病人的胰島素使用量可能需要減量","毛地黃使用要注意頭痛、心律不整等中毒症狀","貧血時補充鐵劑要合併制酸劑使用避免腸胃症狀","腸胃不適避免使用含鎂離子的制酸劑或胃乳制劑","C",null,[],"本題考點為多重共病腎衰竭病人的用藥注意事項，屬找出錯誤敘述的反向題。錯誤敘述為 C：補充鐵劑時不宜『合併制酸劑』，因制酸劑會升高胃內 pH，減少鐵的溶解與吸收，反而降低鐵劑療效，故此敘述錯誤，選 C。A 正確，腎功能下降使胰島素代謝與排除減慢，糖尿病腎病變者胰島素常需減量以防低血糖；B 正確，毛地黃經腎排除、腎衰竭易蓄積中毒，須注意心律不整等症狀；D 正確，腎衰竭者應避免含鎂制酸劑以防高血鎂。","鐵劑吸收需酸性環境使三價鐵還原為易吸收的二價鐵，故建議空腹或配合維生素 C（酸性）服用，並與制酸劑、牛奶、茶（含單寧）錯開，以免鹼化胃液或螯合而降低吸收。腎衰竭的用藥調整核心是『經腎排除的藥物易蓄積』：胰島素、毛地黃（digoxin）皆需減量並監測；含鎂制酸劑因鎂由腎排出，腎衰竭時易高血鎂。記憶『鐵怕鹼、腎衰藥要減量、鎂離子少碰』，是腎臟科用藥安全的核心整合考點。",[24,27,29,31],{"term":25,"count":26},"腎衰竭用藥調整",1,{"term":28,"count":26},"鐵劑吸收需酸性環境",{"term":30,"count":26},"毛地黃腎排除易蓄積",{"term":32,"count":26},"含鎂制酸劑與高血鎂",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-060","有關前列腺癌之敘述，下列何者錯誤？",60,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-medical-surgical-026","有關紅血球增多症病人之護理措施，下列何者錯誤？",26,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-020","有關機械性人工心瓣膜特性之敘述，下列何者正確？",20,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-medical-surgical-018","有關慢性靜脈功能不全引起的鬱滯性潰瘍（stasis ulcer）的肢體評估，下列敘述何者正確？①潰瘍部位多發生於足踝內側       ②皮膚出現色素沉著   ③肢體呈現凹陷性水腫   ④趾甲變厚   ⑤腳趾潰瘍",18,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-042","有關一氧化碳中毒的臨床表徵，下列何者正確？",42,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-medical-surgical-076","下列何種荷爾蒙分泌過多會導致肢端肥大症？",76,107,"2026-09-04",1788510747809]