[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-042","nurse-114-3-medical-surgical-042",114,3,42,"有關副甲狀腺功能低下病人之處置，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"可補充鈣鹽及維生素 D","急性期需密切觀察呼吸道是否通暢","應多攝取高磷食物，例如：肉類、蛋、乳酪等食物","在進餐時或飯前可服用氫氧化鋁","C",null,[],"本題考點在於副甲狀腺功能低下造成的低血鈣、高血磷及其飲食處置。本題為反向題,要選最不適當者。錯誤做法為C:副甲狀腺素(PTH)不足會使血鈣下降、血磷上升,飲食應「限制」高磷食物(如肉類、蛋、乳酪、內臟),多攝取高磷反而加重高血磷並進一步壓低血鈣,故不當。A正確,應補充鈣鹽與維生素D以提升血鈣、促進鈣吸收;B正確,嚴重低血鈣可引發喉頭痙攣與抽搐,急性期須密切觀察呼吸道通暢;D正確,氫氧化鋁為磷結合劑,於進餐時服用可在腸道結合磷、降低血磷。故最不適當為C。","PTH的作用是升血鈣、降血磷(促腎排磷、活化維生素D、動員骨鈣)。功能低下則相反:低鈣高磷。血鈣與血磷成反比,故治療同時補鈣與降磷。低血鈣典型徵象:Chvostek、Trousseau、口周麻木、手足抽搐、喉痙攣。記憶:「PTH低→鈣低磷高→補鈣、限磷、綁磷」。",[24,27,29,32],{"term":25,"count":26},"副甲狀腺功能低下",7,{"term":28,"count":10},"低血鈣高血磷",{"term":30,"count":31},"磷結合劑氫氧化鋁",1,{"term":33,"count":31},"維生素D與鈣補充",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-043","有關原發性多醛固酮症（primary aldosteronism）的臨床表徵，下列敘述何者最適當？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-medical-surgical-039","有關血液透析病人動靜脈瘻管的敘述，下列何者最適當？",39,115,2,{"webId":46,"stem":47,"number":10,"year":48,"session":44},"nurse-106-2-medical-surgical-003","有關脊髓損傷導致自主神經反射過度之敘述，下列何者正確？",106,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-107-2-medical-surgical-041","王小姐罹患乳癌第四期，醫生建議放射線合併化學治療，此種放射線治療是屬於何種治療方式？",41,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-medical-surgical-005","指導重症肌無力病人之護理措施，下列何者錯誤？",5,109,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-medical-surgical-039","有關血小板減少症照護的敘述，下列何者正確？",110,"2026-09-04",1788510762207]