[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-114-2-內外科護理學-046","nurse-114-2-medical-surgical-046",114,2,46,"有關副甲狀腺機能亢進造成的影響，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"促進腸道對鈣質的吸收","促進維生素 D 活化","促進腎小管對鈣的再吸收","促進骨鈣形成","D",null,[],"本題考點在於副甲狀腺素(PTH)升高血鈣的三大作用途徑。本題為反向題,錯誤敘述為 D:PTH 對骨骼的作用是活化破骨細胞、促進骨鈣「釋出(骨質分解)」以升高血鈣,而非促進骨鈣形成,故 D 錯誤選之。A 正確,PTH 經活化維生素 D 間接促進腸道對鈣的吸收。B 正確,PTH 刺激腎臟 1α-羥化酶使維生素 D 活化為 calcitriol。C 正確,PTH 增加腎遠曲小管對鈣的再吸收並促進磷排出。三條途徑皆使血鈣上升,唯 D 的骨鈣「形成」與 PTH 溶骨升鈣的機轉相反。","PTH 升鈣記「骨、腎、腸」三箭:溶骨(骨鈣→血)、腎保鈣排磷、活化維生素 D 促腸吸鈣。副甲狀腺亢進長期溶骨會致纖維囊性骨炎、骨質疏鬆與病理性骨折,並出現高血鈣、低血磷、腎結石。降鈣素(calcitonin)作用相反,抑制破骨、促骨鈣沉積,恰與 PTH 拮抗。",[24,26,28,31,33],{"term":25,"count":10},"副甲狀腺素 PTH",{"term":27,"count":10},"維生素 D 活化",{"term":29,"count":30},"溶骨作用",1,{"term":32,"count":30},"腎小管鈣再吸收",{"term":34,"count":30},"血鈣調節",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-medical-surgical-047","由 119 救護車送來一位因車禍 OHCA（out of hospital cardiac arrest）的病人到急診，下列敘述何者正確？",47,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-115-1-medical-surgical-043","有關嗜鉻細胞瘤切除手術後之護理措施，下列何者錯誤？",43,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-medical-surgical-037","乳房腫瘤 3 cm，侵犯至同側腋下淋巴結，但無遠處轉移，依據 TNM 分期，下列何者正確？",37,106,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-107-1-medical-surgical-075","在急救過程中需為成年病人放置氣管內插管之敘述，下列何者錯誤？",75,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-2-medical-surgical-039","B 型肝炎帶原者接受化學治療時之護理指導，下列何者錯誤？",39,108,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-2-medical-surgical-073","下列何者為高血糖高滲透壓狀態（HHS）病人出現脫水的最常見原因？",73,109,"2026-09-04",1788510759892]