[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-059":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-106-1-內外科護理學-059","nurse-106-1-medical-surgical-059",106,1,59,"林先生，30 歲，無特殊疾病，因發燒、小便混濁及急性後背腰痛到急診，發現有尿道感染及輸尿管結石 0.5 cm，有關此急性期之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"等培養出細菌種類後再用特定的抗生素","屬突發性、尖銳的疼痛應依醫囑使用止痛劑緩解疼痛","可依醫囑使用平滑肌鬆弛劑緩解輸尿管痙攣","鼓勵多喝水以利結石排出","A",null,[],"本題考點為輸尿管結石併泌尿道感染急性期護理措施的適當性，此題須選錯誤者。面對已確立的泌尿道感染，依經驗性抗生素治療原則，應先依可能菌種儘早給藥控制感染，不應延誤，故 A「等培養出細菌種類後再用特定抗生素」為錯誤做法。B 依醫囑使用止痛劑緩解急性尖銳絞痛、C 依醫囑使用平滑肌鬆弛劑緩解輸尿管痙攣、D 鼓勵多喝水以促進 0.5 cm 小結石排出，皆為正確措施。","重點:急性感染先「經驗性給藥」再依培養結果調整,不可空等培養(常需數天)而放任感染惡化甚至併發腎盂腎炎、敗血症。0.5 cm 以下結石多可自行排出,故水分補充與症狀緩解為主要護理方向,可連結上尿路結石照護一併複習。",[24,27,30,32],{"term":25,"count":26},"輸尿管結石",4,{"term":28,"count":29},"泌尿道感染",2,{"term":31,"count":10},"經驗性抗生素治療",{"term":33,"count":10},"輸尿管絞痛",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-060","有關女性尿道炎發生原因之機率，下列何者最低？",60,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-medical-surgical-076","有關登革熱之敘述，下列何者錯誤？",76,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-107-2-medical-surgical-010","與幽門螺旋桿菌（Helicobacter pylori）感染有關的胃部疾病，下列何者正確？①A 型慢性胃炎 ②B 型慢性胃炎 ③消化性潰瘍 ④急性胃炎 ⑤胃食道逆流",10,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-medical-surgical-048","有關類風溼性關節炎流行病學之敘述，下列何者錯誤？",48,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-medical-surgical-012","有關口腔癌的敘述，下列何者正確？",12,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-medical-surgical-046","有關感染疥瘡（Scabies）引起皮膚疾病之敘述，下列何者錯誤？",46,111,"2026-09-04",1788510693260]