[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-114-3-內外科護理學-022","nurse-114-3-medical-surgical-022",114,3,22,"腫瘤及組織病理分期 T x N 1 M 0 、G 4 其代表之意義，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"無原發病灶","無遠端轉移","原發部位淋巴受侵犯","細胞未分化","A",null,[],"本題考點在於腫瘤 TNM 與組織分級系統的判讀,本題為反向題,問「最不適當」者。考點在於 Tx 的定義:Tx 表示原發腫瘤無法評估,而非『無原發病灶』,真正代表無原發腫瘤的是 T0,故 A 的解讀錯誤,選 A。B M0 代表無遠端轉移,正確。C N1 代表區域淋巴結受侵犯,正確。D G4 代表細胞分化最差、屬未分化的高惡性度,正確。因此本組 Tx N1 M0 G4 中唯有把 Tx 誤讀為『無原發病灶』的 A 不正確,為最不適當的敘述。","TNM 分期中,T 描述原發腫瘤大小與侵犯範圍,N 描述區域淋巴結轉移,M 描述遠端轉移;下標 x 一律表示『無法評估』,0 表示『無』。組織學分級 G1 至 G4 反映分化程度,G1 分化良好、G4 未分化,分級愈高惡性度愈強、預後愈差。分期與分級併用可指導治療與預後判斷。記憶:x=測不到、0=真的沒有,別把 Tx 當成 T0。",[24,27,29],{"term":25,"count":26},"TNM 分期系統",1,{"term":28,"count":26},"Tx 無法評估 vs T0",{"term":30,"count":26},"組織學分級 G1-G4",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-023","服用排鉀利尿劑的高血壓病人，出現肌肉無力、心悸等症狀，下列護理措施何者最不適當？",23,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-019","下列何種心律不整，可以使用按摩頸動脈竇的方式來使心律恢復正常？",19,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-063","王先生兩星期前因喉頭發炎、發燒就醫，近日出現血尿再次就醫，發現尿液中出現 RBC、WBC、蛋白質及圓柱體；血中 BUN 及肌酸酐值上升。下列何者為其最可能之診斷？",63,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-021","下列何者為預防上石膏肢體肌肉力量變差之運動？",21,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-065","蔡先生主訴噁心、食慾不振，昨日嘔吐量約 150 c.c.\u002F天，排尿量 360 c.c.\u002F天，血清鉀 6.8 mEq\u002FL，下列處置何者錯誤？",65,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-019","下列何者為骨性關節炎的臨床表徵？",110,"2026-09-04",1788510762033]