[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-062":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-062","nurse-106-1-medical-surgical-062",106,1,62,"趙小姐有長期反覆性尿道感染的病史，健檢時發現有鹿角結石約 5 cm，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是一種感染性結石","可利用體外震波碎石術碎石","限制高磷酸食物及碳酸飲料","酸化尿液是預防此類結石復發的方法之一","B",null,[],"本題考點為鹿角結石的特性與治療選擇，此題須選錯誤者。鹿角結石多為感染性的磷酸銨鎂結石，體積龐大填滿腎盂腎盞;約 5 cm 的大型結石以體外震波碎石術（ESWL）效果不佳，多需經皮腎造廔取石術或手術處理，故 B「可利用體外震波碎石術碎石」為錯誤。A 屬感染性結石、C 限制高磷酸食物及碳酸飲料、D 酸化尿液以預防復發，皆為正確敘述，故不選。","重點:磷酸銨鎂結石(struvite)常因產尿素酶細菌感染、鹼性尿環境形成,故治療要「控制感染+酸化尿液+限磷」。ESWL 適合較小結石(一般約 2 cm 以下);5 cm 鹿角石過大,首選經皮腎造廔取石術,可對比各術式適應症複習。",[24,27,30,32],{"term":25,"count":26},"酸化尿液",4,{"term":28,"count":29},"鹿角結石",2,{"term":31,"count":10},"磷酸銨鎂結石",{"term":33,"count":10},"體外震波碎石術 ESWL",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-medical-surgical-079","楊先生 50 歲，患有高血壓超過 10 年，目前被診斷有慢性腎疾病，為減緩腎功能衰退，應指導其血壓控制在下列何種範圍？",79,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-107-2-medical-surgical-013","有關結腸癌的危險因子，下列何者正確？①長期食用低纖維食物 ②長期食用低脂肪食物 ③排便習慣不正常 ④結腸息肉",13,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-medical-surgical-051","肺栓塞病人於血栓形成後 72 小時內，可給與下列何種藥物以快速溶解血塊？",51,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-medical-surgical-015","有關急性胰臟炎之相關檢驗項目的結果，下列何者正確？",15,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-medical-surgical-049","有關器官移植後之護理指導，下列何者錯誤？",49,111,"2026-09-04",1788510693288]