[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-107-1-內外科護理學-038","nurse-107-1-medical-surgical-038",107,1,38,"減少腫瘤溶解症候群發生之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"治療前後減少輸液，以降低心臟負擔","給與 Allopurinol，以降低尿酸","Kayexalate 可降低血鉀","Sodium Bicarbonate 可鹼化尿液","A",null,[],"本題考點在腫瘤溶解症候群（TLS）的預防處置，屬選出錯誤敘述題。依 TLS 病生理，大量癌細胞崩解釋出尿酸、鉀、磷，故預防重點在積極水化、增加尿量以促進尿酸與電解質排出，而非減少水分；A 主張治療前後減少補液以降低心臟負擔，方向錯誤，為本題答案。B 正確，Allopurinol 抑制黃嘌呤氧化酶可降低尿酸生成。C 正確，Kayexalate（陽離子交換樹脂）可經腸道排鉀、降低血鉀。D 正確，碳酸氫鈉可鹼化尿液、增加尿酸溶解度以利排除。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840740791]