[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-114-1-內外科護理學-043","nurse-114-1-medical-surgical-043",114,1,43,"有關服用治療甲狀腺機能亢進之放射性碘（ 131I）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"食物會延遲放射性碘（ 131I）吸收，服用前一天午夜後及服用後2小時應禁食，以利吸收","服用治療劑量於8～30 μ Ci 的病人應限制訪客，第一週最好單獨睡，避免接觸孕婦","服用一個星期後會經由尿液、糞便排出，這段時間在使用馬桶後，宜沖水2～3次","服用高劑量者10年後易出現甲狀腺功能亢進，故需定期追蹤血清T 3是否上升","B",null,[],"本題考點在於甲狀腺機能亢進放射性碘治療的照護指導。依輻射防護原則，治療劑量的放射性碘會使病人短期成為輻射源，故應限制訪客、第一週最好單獨睡並避免接觸孕婦與孩童，以降低他人輻射暴露，B正確為答案。A應為服用前後禁食以避免食物干擾碘吸收，但其論述細節與標準衛教不符；C排泄物確含放射性、如廁後應多次沖水，但排出時程與細節描述有誤；D高劑量治療後常導致甲狀腺功能低下而非亢進，追蹤重點是甲狀腺低下，故A、C、D敘述不正確。","放射性碘利用甲狀腺高度攝碘特性，以β射線局部破壞過度活躍的濾泡細胞。治療後病人的體液（尿、汗、唾液）具放射性，故須加強手部衛生、多沖馬桶、分開餐具並與孕婦幼童保持距離數日至一週。最常見的長期結果是甲狀腺功能低下，需終身監測並補充甲狀腺素。辨題重點：放射性碘治療後多變「低下」而非續「亢進」。",[24,27,29,31],{"term":25,"count":26},"甲狀腺機能亢進",9,{"term":28,"count":10},"放射性碘治療",{"term":30,"count":10},"輻射防護隔離",{"term":32,"count":10},"治療後甲狀腺功能低下",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-044","有關肢端肥大症之症狀，下列何者錯誤？",44,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-040","有關高血鈣及其照護，下列敘述何者最適當？",40,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-medical-surgical-034","張力性氣胸是指空氣滯留在以下那個部位無出口，造成吸氣時空氣進入，吐氣時卻無法排出，而產生單向瓣膜效應（one-way valve effect）？",34,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-medical-surgical-022","有關使用音叉評估聽力喪失之敘述，下列何者錯誤？",22,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-066","有關接受腎移植而服用免疫抑制劑 cyclosporine 之敘述，下列何者錯誤？",66,108,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-109-2-medical-surgical-020","右側下肢無力需要使用手杖之病人，下列使用方法何者最正確？",20,109,"2026-09-04",1788510757569]