[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-017":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-113-3-內外科護理學-017","nurse-113-3-medical-surgical-017",113,3,17,"一位 74 歲男性，因胸痛數次到醫院檢查，檢驗報告 LDH1\u002FLDH2＞1；CK-MB 460 U\u002FL；Troponin I 15.0 ng\u002FmL； K + 3.0 mEq\u002FdL，有關其檢驗報告的判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"LDH1\u002FLDH2＞1 表示無心肌細胞受損","Troponin I 15.0 ng\u002FmL 表示心肌細胞受損","CK-MB 在正常範圍表示心肌細胞未受損","有高血鉀，會因心肌再極化時間延長導致心律不整","B",null,[],"本題考點在於心肌梗塞相關心臟酵素與電解質的判讀。Troponin I 是心肌損傷最專一、最敏感的指標,15.0 ng\u002FmL 遠超正常(通常\u003C0.04 ng\u002FmL),明確表示心肌細胞受損,故 B 正確。A 錯在 LDH1\u002FLDH2>1(LDH flip)反而是心肌受損指標,並非「無受損」;C 錯在題中 CK-MB 460 U\u002FL 已遠高於正常,顯示心肌受損,且敘述前提「CK-MB 在正常範圍」與數值不符;D 錯在此 K⁺ 3.0 mEq 屬低血鉀而非高血鉀,且低血鉀才易致心律不整,敘述方向與數值皆錯。本題屬心臟生化指標判讀題。","心肌梗塞指標時序:myoglobin 最早升(1～3 小時但不專一)、CK-MB 3～6 小時升、Troponin I\u002FT 最專一且持續 1～2 週(診斷主力)。LDH flip(LDH1>LDH2)是較晚期指標。本題 K⁺ 3.0 為低血鉀(正常 3.5～5.0),低鉀延長再極化、易致 U 波與室性心律不整。判讀原則:對照正常值、認清各指標專一性,Troponin 是心肌梗塞診斷的黃金標準。",[24,27,30,32],{"term":25,"count":26},"Troponin I",2,{"term":28,"count":29},"CK-MB",1,{"term":31,"count":29},"LDH flip",{"term":33,"count":29},"低血鉀心律不整",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-018","有關高血壓的敘述，下列何者正確？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-medical-surgical-014","下列何者為白內障最主要的病變構造？",14,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-medical-surgical-008","有關口腔癌的敘述，下列何者正確？",8,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-medical-surgical-026","懷疑病人罹患心內膜炎時，護理師最需要收集的資料，下列何者正確？",26,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-2-medical-surgical-070","有關使用抗甲狀腺硫醯胺類（thionamides）藥物之敘述，下列何者正確？",70,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-medical-surgical-024","有關喉癌病人接受全喉切除術後之護理處置，下列何者錯誤？",24,109,"2026-09-04",1788510752594]