[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-106-2-內外科護理學-058","nurse-106-2-medical-surgical-058",106,2,58,"下列何者為檢測腎絲球過濾率的最佳指標？",{"A":14,"B":15,"C":16,"D":17},"尿液培養","腎臟、輸尿管、膀胱攝影","肌酸酐廓清率","酚紅試驗","C",null,[],"本題考點為評估腎絲球過濾率(GFR)的最佳指標。肌酸酐由肌肉代謝穩定產生、幾乎完全由腎絲球過濾且少被再吸收,故肌酸酐廓清率(creatinine clearance)可良好估算 GFR,是臨床評估腎功能的最佳指標,選 C。A 尿液培養用於診斷泌尿道感染,與過濾率無關;B 腎臟輸尿管膀胱攝影(KUB)為結構影像檢查,無法量化功能;D 酚紅試驗(PSP)評估的是腎小管排泌功能而非腎絲球過濾。故選 C。","GFR 的評估:內生性肌酸酐廓清率是傳統床邊最佳估算(需 24 小時尿+血清 Cr);因肌酸酐略經腎小管分泌,會略高估 GFR,更精準可用 inulin 清除率(研究金標準)。臨床常用 eGFR 公式(如 CKD-EPI)由血清 Cr 推估。BUN 易受脫水、飲食干擾故較差。口訣:『算過濾率,肌酸酐廓清最實用』。",[24,26,29,31],{"term":16,"count":25},3,{"term":27,"count":28},"腎絲球過濾率(GFR)",1,{"term":30,"count":28},"肌酸酐生理特性",{"term":32,"count":28},"酚紅試驗(腎小管排泌)",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-medical-surgical-059","下列何種藥物可以直接灌注於膀胱內以治療膀胱癌？",59,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-medical-surgical-075","在急救過程中需為成年病人放置氣管內插管之敘述，下列何者錯誤？",75,107,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-108-1-medical-surgical-009","有關預防傾倒症候群的敘述，下列何者正確？",9,108,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-109-1-medical-surgical-047","愛滋病病人感染肺囊蟲肺炎之初期主要症狀，下列何者正確？",47,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-medical-surgical-011","有關肝硬化之飲食建議，下列何者正確？",11,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-medical-surgical-045","皮膚表皮破皮並看得到皮下脂肪組織，且傷口出現黏液或滲出物，可能為第幾期壓傷？",45,111,"2026-09-04",1788510698796]