[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-027":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-114-2-內外科護理學-027","nurse-114-2-medical-surgical-027",114,2,27,"有關腫瘤溶解症候群之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"給與 Sodium Bicarbonate 促進尿酸溶解","給與 Kayexalate 治療高血鉀","減少輸液降低心臟負擔","給與 Allopurinol 抑制尿酸生成","C",null,[],"本題考點在於腫瘤溶解症候群(TLS)的處置原則。本題為反向題,錯誤敘述為 C:TLS 因大量腫瘤細胞崩解釋出鉀、磷、尿酸,處置核心是「積極水化(增加靜脈點滴)」以增加尿量、促進代謝廢物排出並保護腎臟,若減少點滴反而使尿酸與磷沉積惡化腎損傷,故 C 敘述錯誤為答案。A 正確,Sodium Bicarbonate 鹼化尿液促進尿酸溶解排出。B 正確,Kayexalate(陽離子交換樹脂)治療高血鉀。D 正確,Allopurinol 抑制黃嘌呤氧化酶減少尿酸生成。","TLS 四大電解質異常:高尿酸、高血鉀、高血磷、低血鈣(磷結合鈣)。處置支柱=「大量水化+降尿酸」:水化維持高尿量沖走結晶;Allopurinol 阻斷尿酸生成、rasburicase 分解既有尿酸;碳酸氫鈉鹼化尿液(但過度鹼化易致磷酸鈣沉積,需權衡)。好發於化療高度敏感的腫瘤如白血病、淋巴瘤起始治療期。",[24,27,29,31],{"term":25,"count":26},"腫瘤溶解症候群",4,{"term":28,"count":26},"高血鉀處置",{"term":30,"count":10},"Allopurinol",{"term":32,"count":33},"積極水化",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-medical-surgical-028","有關疥瘡的敘述，下列何者錯誤？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-115-1-medical-surgical-024","王老太太意識恢復後，針對其目前的問題，下列護理措施何者正確？",24,115,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-106-1-medical-surgical-018","有關退化性關節炎臨床表徵之敘述，下列何者錯誤？",18,106,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-107-1-medical-surgical-056","有關慢性阻塞性肺部疾病病人使用 Aminophylline 治療時之敘述，下列何者正確？①主要作用為支氣管擴張 ②副作用為心律不整和高血壓 ③靜脈注射速度不可超過 20～25 mg\u002Fmin ④血清治療濃度應維持在 20～40 μg\u002FmL 之間",56,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-medical-surgical-020","有關鼻咽癌之敘述，下列何者錯誤？",20,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-medical-surgical-054","有關呼吸器出現壓力過低警示（low pressure alarm）之處理，下列何者最適當？",54,109,"2026-09-04",1788510759706]