[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-065","nurse-106-1-medical-surgical-065",106,1,65,"有關 BUN 與 Serum Creatinine 比值的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"正常比值是 30\u002F1","脫水會導致比值上升","發燒會導致比值下降","嚴重腹瀉會導致比值下降","B",null,[],"本題考點為 BUN 與血清肌酸酐比值的臨床意義。正常比值約為 10 至 20 比 1;脫水時屬腎前性因素，腎小管對水與尿素的再吸收增加，使 BUN 上升幅度大於肌酸酐，導致比值升高，故 B 正確。A 正常比值並非 30 比 1;C 發燒因組織分解使 BUN 增加，比值上升而非下降;D 嚴重腹瀉造成脫水亦屬腎前性，同樣使比值上升而非下降，皆為錯誤。","口訣:腎前性(脫水、腸胃道出血、心衰)→BUN\u002FCr 比值↑(>20);腎實質性(急性腎小管壞死)→比值多回到正常約 10～15。因尿素會隨水在腎小管被再吸收、肌酸酐幾乎不被再吸收,故脫水時 BUN 相對衝更高,是判別腎前性的重要線索。",[24,27,30,32],{"term":25,"count":26},"腎前性氮血症",3,{"term":28,"count":29},"脫水",2,{"term":31,"count":10},"BUN\u002FCreatinine 比值",{"term":33,"count":10},"腎小管再吸收",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-066","關於膀胱癌的敘述，下列何者錯誤？",66,{"webId":40,"stem":41,"number":29,"year":42,"session":10},"nurse-107-1-medical-surgical-002","林先生因置有腦室外引流系統而造成細菌感染，其腦脊髓液的實驗室檢查結果，下列何者正確？",107,{"webId":44,"stem":45,"number":46,"year":42,"session":29},"nurse-107-2-medical-surgical-016","有關急性胰臟炎之敘述，下列何者正確？①最常見的病因為膽石症及酒精 ②血清澱粉酶（amylase）及鈣（calcium）上升 ③出血性胰臟炎會出現 Rovsing sign ④ 會造成電解質及酸鹼不平衡",16,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-108-2-medical-surgical-054","當進行肺部聽診時，可經由聽診器清楚的聽到病人所說的話，下列何者為此項檢查之結果？",54,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-medical-surgical-018","下列何者是罹患骨質疏鬆症風險最低的情況？",18,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-medical-surgical-052","有關使用呼氣末期陽壓（PEEP）治療急性呼吸窘迫症候群的主要目的，下列何者正確？",52,111,"2026-09-04",1788510693321]