[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-112-3-內外科護理學-024","nurse-112-3-medical-surgical-024",112,3,24,"乳腺癌病人出現意識混亂、嗜睡、虛弱、心律不整、嘔吐及便秘，下列何者為其最可能發生的癌症合併症？",{"A":14,"B":15,"C":16,"D":17},"腫瘤溶解症候群","上腔靜脈症候群","脊髓壓迫","高血鈣症","D",null,[],"本題考點在於惡性腫瘤合併症的症狀辨識，屬腫瘤急症。依高血鈣症的臨床表現，血鈣升高會抑制神經肌肉興奮性與腸胃蠕動，出現意識混亂、嗜睡、虛弱、心律不整、噁心嘔吐及便秘，與題幹症狀完全吻合，故選 D。判斷關鍵是「這組神經、心臟、腸胃抑制症狀＝高血鈣」。A 腫瘤溶解症候群以高血鉀、高尿酸、高血磷與低血鈣為特徵，與此不同。B 上腔靜脈症候群表現為顏面頸部水腫與呼吸困難。C 脊髓壓迫以背痛、肢體無力與感覺異常為主，皆不符題幹症狀組合。","惡性腫瘤引起的高血鈣多因骨轉移蝕骨或腫瘤分泌類副甲狀腺素相關蛋白（PTHrP）所致，是常見的腫瘤急症。症狀可記為「stones, bones, groans, moans」——結石、骨痛、腹部症狀（噁心便秘）、精神神經症狀（嗜睡混亂）。乳癌、肺癌與多發性骨髓瘤最易發生。處置以大量生理食鹽水水化促進鈣排出、加上雙磷酸鹽類抑制蝕骨，並監測心電圖，因高血鈣可致心律不整。",[24,26,29,31,33],{"term":25,"count":10},"腫瘤急症",{"term":27,"count":28},"PTHrP",2,{"term":17,"count":30},1,{"term":32,"count":30},"神經肌肉興奮性抑制",{"term":34,"count":30},"腫瘤溶解症候群鑑別",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-medical-surgical-025","有關何杰金氏病（Hodgkin’s Disease）的敘述，下列何者正確？",25,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-113-2-medical-surgical-021","有關惡性貧血的敘述，下列何者錯誤？①與自體免疫有關 ②曾接受胃切除手術者較易罹患 ③可以進行骨髓切片檢查確定診斷 ④須終生補充維生素 B 12",21,113,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-114-1-medical-surgical-015","有關扁桃腺炎（tonsilitis）病人接受扁桃腺切除術之敘述，下列何者錯誤？",15,114,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-115-2-medical-surgical-013","有關病人接受白內障手術後 1 個月內之護理指導，下列何者不適當？",13,115,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-107-1-medical-surgical-007","有關多發性硬化症的敘述，下列何者錯誤？",7,107,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-108-1-medical-surgical-041","王太太 50 歲，診斷為急性白血病，入院行高劑量 Ara-C 化學治療後，白血球 3,500\u002Fcumm、嗜中性球為 13%，下列敘述何者正確？",41,108,"2026-09-04",1788510744981]