[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-009":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":26},"nurse-113-3-內外科護理學-009","nurse-113-3-medical-surgical-009",113,3,9,"有關副甲狀腺功能亢進之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"要鼓勵病人多攝取奶類製品","病人會有多尿、尿比重下降、腎結石等臨床表徵","要限制每日水分攝取量在 1500c.c.以下","病人會有高血磷","B",null,[],"本題考點在於副甲狀腺功能亢進的病生理與臨床表現。副甲狀腺素(PTH)過多會促進骨鈣釋出、腎小管再吸收鈣並增加磷排出,造成高血鈣、低血磷。高血鈣使尿液鈣濃度升高,易形成腎結石,並影響腎濃縮功能致多尿、尿比重下降,故 B 正確。A 錯在已有高血鈣,不應再鼓勵攝取奶類(高鈣)以免惡化;C 錯在應鼓勵多喝水以稀釋尿鈣、預防結石,而非限水 1500 c.c. 以下;D 錯在 PTH 促磷排出,結果是「低血磷」而非高血磷。本題屬內分泌病生理辨識題。","PTH 三大作用:骨(蝕骨釋鈣)、腎(保鈣排磷、活化維生素 D)、腸(間接增鈣吸收),淨效果高鈣低磷。高血鈣症狀口訣「石(結石)、骨(骨痛骨折)、腹(便秘腹痛)、精神(倦怠意識改變)」——stones, bones, abdominal groans, psychiatric moans。護理重點:多水防結石、限鈣飲食、監測心律(高鈣影響心肌)。與副甲狀腺功能低下(低鈣高磷、抽搐)恰相反。",[24,27,29,32],{"term":25,"count":26},"副甲狀腺功能亢進",2,{"term":28,"count":26},"高血鈣低血磷",{"term":30,"count":31},"PTH 作用",1,{"term":33,"count":31},"腎結石預防",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-010","有關急性胰臟炎的敘述，下列何者正確？①常見的原因是膽道疾病及飲酒過量 ②血清澱粉酶及血鈣的數值過高 ③會出現下腹巨痛或疼痛輻射至右肩 ④急性期後，仍需採低脂飲食",10,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-medical-surgical-006","有關膽囊炎病人的護理評估及照護，下列何者正確？",6,114,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-3-medical-surgical-050","有關阻塞性黃疸的評估，下列敘述何者最適當？",50,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-2-medical-surgical-018","有關軟組織損傷之敘述，下列何者錯誤？",18,106,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-107-2-medical-surgical-062","有關急性腎絲球腎炎病人之護理指導，下列何者正確？",62,107,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-109-1-medical-surgical-016","有關胃食道逆流病人之護理指導，下列何者錯誤？",16,109,"2026-09-04",1788510752519]