[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-063":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-063","nurse-106-1-medical-surgical-063",106,1,63,"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？",{"A":14,"B":15,"C":16,"D":17},"膀胱炎","良性攝護腺肥大","腎絲球腎炎","腎病症候群","C",null,[],"本題考點為鏈球菌感染後急性腎絲球腎炎的診斷。病人先有喉部發炎、發燒的鏈球菌感染，1 至 2 週後出現血尿，尿中可見紅血球、白血球、蛋白質與圓柱體，並伴隨 BUN、肌酸酐上升，符合鏈球菌感染後腎絲球腎炎的典型潛伏病程與腎功能受損表現，故選 C。A 膀胱炎不致腎功能惡化;B 攝護腺肥大屬阻塞性泌尿問題;D 腎病症候群以大量蛋白尿、低白蛋白與水腫為主，皆與本病程不符。","關鍵線索:感染後 1～2 週潛伏期+血尿+紅血球圓柱體+腎功能異常=腎絲球病變。鏈球菌抗原抗體複合物沉積於腎絲球引發免疫發炎,可測 ASO 力價、補體 C3 下降佐證。與腎病症候群(以蛋白尿與水腫為主)鑑別是常見考點。",[24,27,30,32],{"term":25,"count":26},"急性腎絲球腎炎",5,{"term":28,"count":29},"鏈球菌感染後",2,{"term":31,"count":10},"紅血球圓柱體",{"term":33,"count":10},"血尿",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-064","臨床上最可以早期診斷慢性腎絲球腎炎之檢查，下列何者正確？",64,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-medical-surgical-080","有關體溫過低病人採取回溫措施期間的支持性處置，下列何者錯誤？",80,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-107-2-medical-surgical-014","王先生，25 歲，今早突感肚臍周圍疼痛且有噁心、食慾不振的現象，至醫院求診，護理師評估疼痛位置轉移到右下腹，懷疑為急性闌尾炎，下列何項檢查可明確確定病人問題？",14,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-medical-surgical-052","肺栓塞病人使用肝素以阻止新的血塊形成，通常須維持部分凝血活酶時間（aPTT）為正常值的多少倍？",52,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-medical-surgical-016","有關膽道疾病手術後放置 T 型管的護理措施，下列何者錯誤？",16,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-medical-surgical-050","有關類風濕性關節炎之敘述，下列何者正確？①手部關節會出現尺側偏斜 ②活動後有僵硬的現象 ③關節 X 光變化呈現關節腔變窄 ④關節腫脹呈現不對稱性",50,111,"2026-09-04",1788510693293]