[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-040","nurse-114-3-medical-surgical-040",114,3,40,"有關高血鈣及其照護，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"肌肉張力增加、神經過度反射","心電圖出現 QT 間隔延長","指導多攝取低膳食纖維飲食以減緩腸蠕動","指導多攝取酸灰性食物","D",null,[],"本題考點在於高血鈣的臨床表現與照護。正解D:鈣鹽在鹼性尿液中易沉澱形成結石,指導攝取酸灰性食物使尿液偏酸,有助減少鈣結石生成,故最適當。A錯誤,高血鈣會抑制神經肌肉興奮性,表現為肌肉張力下降、反射減弱與倦怠,神經過度反射反而是低血鈣(手足抽搐)的特徵;B錯誤,高血鈣在心電圖上使QT間隔「縮短」,QT間隔延長是低血鈣的表現;C錯誤,高血鈣常致腸蠕動減慢、便秘,應攝取「高」纖維並補充水分促進排便,而非低纖維。故選D。","血鈣與神經肌肉興奮性成反比:高血鈣使興奮性下降(嗜睡、無力、反射減弱、便秘、多尿);低血鈣使興奮性上升(Chvostek、Trousseau徵象、抽搐、QT延長)。心電圖記憶:「高鈣QT短、低鈣QT長」。高血鈣處置:補水、生理食鹽水利尿、降鈣素或雙磷酸鹽。",[24,27,29,32],{"term":25,"count":26},"高血鈣",4,{"term":28,"count":10},"神經肌肉興奮性",{"term":30,"count":31},"QT間隔",1,{"term":33,"count":31},"酸化尿液防結石",[35,39,45,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-041","有關中樞性尿崩症，下列敘述何者最適當？",41,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-medical-surgical-037","宋先生為肺心症病人，對於他出院居家護理指導，下列何者不適當？",37,115,2,{"webId":46,"stem":47,"number":31,"year":48,"session":44},"nurse-106-2-medical-surgical-001","林先生因頭部外傷需要裝置顱內壓監測系統的敘述，下列何者錯誤？",106,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-107-2-medical-surgical-039","有關白血病檢查與治療之敘述，下列何者錯誤？",39,107,{"webId":55,"stem":56,"number":10,"year":57,"session":31},"nurse-109-1-medical-surgical-003","有關暫時性缺血發作（transient ischemic attack; TIA）使用藥物治療，下列何者正確？",109,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-110-1-medical-surgical-037","有關慢性淋巴性白血病的敘述，下列何者錯誤？",110,"2026-09-04",1788510762195]