[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-068","nurse-112-2-medical-surgical-068",112,2,68,"有關嗜鉻細胞瘤病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"注意有無頭痛、視力改變、胸痛、意識混亂等病症","讓病人充分休息，避免壓力發生","鼓勵攝取低維他命、低蛋白質、低礦物質及低熱量食物","避免喝咖啡、茶","C",null,[],"本題考點在嗜鉻細胞瘤病人的護理措施，屬反向題,要找出錯誤者。依其病生理，腫瘤分泌大量兒茶酚胺使身體處於高代謝、高耗能狀態，飲食應提供高熱量、高維生素、營養充足的餐食以補足消耗,錯誤敘述為 C(建議低維他命、低蛋白質、低礦物質、低熱量,方向完全相反)。A 監測頭痛、視力改變、胸痛、意識混亂等，正是高血壓危象的警訊,正確。B 讓病人充分休息、避免壓力,因壓力會誘發兒茶酚胺大量釋放引發陣發性高血壓,正確。D 避免咖啡、茶等含咖啡因刺激物,以免誘發交感興奮與血壓飆升,正確。","嗜鉻細胞瘤源自腎上腺髓質嗜鉻細胞，分泌過量腎上腺素\u002F正腎上腺素，經典五 P\u002F三聯徵為陣發性頭痛、心悸、盜汗合併陣發性高血壓。因兒茶酚胺加速基礎代謝率，病人常體重下降,故營養需高熱量高蛋白補充。護理重點:避免任何誘發交感興奮的刺激(咖啡因、情緒壓力、腹部按壓、突然姿勢改變)、備妥降壓藥防高血壓危象、術前以 α 阻斷劑(phenoxybenzamine)控制血壓。可連結高血壓危象處置複習。",[24,27,29,32,34],{"term":25,"count":26},"嗜鉻細胞瘤",4,{"term":28,"count":26},"兒茶酚胺",{"term":30,"count":31},"高代謝需高熱量",1,{"term":33,"count":31},"高血壓危象",{"term":35,"count":31},"避免交感刺激",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-medical-surgical-069","有關愛迪生氏危機病人的護理措施，下列何者錯誤？",69,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-113-1-medical-surgical-035","有關肺炎鏈球菌肺炎病人之臨床表徵，下列敘述何者最不適當？",35,113,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-113-3-medical-surgical-029","有關免疫球蛋白特性之敘述，下列何者正確？",29,3,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-115-1-medical-surgical-027","王先生常年受過敏所苦，想要知道那種過敏原引起過敏反應，下列何項診斷檢查最合適？",27,115,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-106-2-medical-surgical-051","肺炎病人合併低血氧時最早出現的精神狀態改變，下列何者正確？",51,106,{"webId":62,"stem":63,"number":64,"year":65,"session":31},"nurse-108-1-medical-surgical-005","病人癲癇發作，意識不清的護理措施，下列何者正確？",5,108,"2026-09-04",1788510747869]