[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-113-1-內外科護理學-046","nurse-113-1-medical-surgical-046",113,1,46,"有關甲狀腺機能亢進病人服用飽和碘化鉀溶液之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"絕不可與牛奶一起服用","主要功能是抑制T4轉變為T3","可以降低甲狀腺素的釋放及合成","要長期服用超過一個月才能評估臨床效果","C",null,[],"本題考點在於飽和碘化鉀溶液（SSKI，Lugol's solution）在甲狀腺機能亢進的藥理作用。依 Wolff-Chaikoff 效應，高劑量無機碘會回饋抑制甲狀腺素的合成與釋放，並使腺體血流減少、質地變硬，故常用於甲狀腺切除術前準備，選 C。A 敘述「絕不可與牛奶服用」錯誤，反而應以牛奶、果汁稀釋並用吸管服用以減少對牙齒與胃腸刺激。B「抑制 T4 轉為 T3」是 propylthiouracil（PTU）在周邊的作用，非碘劑主功能，故錯。D「須服用超過一個月才評估」錯誤，碘劑作用快，約 1–2 週即可見效且效果會逃逸（escape），不宜長期使用。故正解為 C。","機轉延伸：無機碘的雙相作用——短期經 Wolff-Chaikoff 效應抑制甲狀腺過氧化酶對碘的有機化，減少 T3、T4 合成，同時抑制既成激素釋放並降低腺體血流。但約 10–14 天後會出現「逃逸現象」，故僅適合術前短期使用，長期反可能加重甲亢。服用衛教口訣：稀釋、吸管、飯後，避免染牙與胃腸不適。可對比藥物：PTU 抑制合成並阻斷周邊 T4→T3；methimazole 抑制合成；β 阻斷劑控制心悸等交感症狀。",[24,27,30,32],{"term":25,"count":26},"甲狀腺機能亢進",9,{"term":28,"count":29},"術前準備",2,{"term":31,"count":10},"飽和碘化鉀SSKI",{"term":33,"count":10},"Wolff-Chaikoff效應",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-medical-surgical-047","有關休克病人體溫下降之護理措施，下列何者正確？",47,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-medical-surgical-043","有關尿崩症病人的出院護理指導，下列何者錯誤？",43,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-2-medical-surgical-037","有關尿液檢查之敘述，下列何者錯誤？",37,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-035","有關化學治療的適應症，下列何者正確？",35,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-079","下列何者為預防傳染病與減輕傳染病傷害最有效的方法？",79,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-2-medical-surgical-033","下列何者是瀕死病人最後消失的知覺？",33,108,"2026-09-04",1788510750610]