[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-106-2-內外科護理學-060","nurse-106-2-medical-surgical-060",106,2,60,"與尿液 pH 值無關之尿路結石成分，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"尿酸","磷酸鈣","草酸鈣","胱胺酸","C",null,[],"本題考點為尿路結石成分與尿液酸鹼值的關係。尿酸結石在酸性尿易形成、鹼化尿液可溶解;磷酸鈣與感染性磷酸銨鎂結石在鹼性尿易生成;胱胺酸結石也受尿液 pH 影響(酸性易析出)。唯有草酸鈣結石的形成與尿液 pH 值『無關』,主要受尿中鈣與草酸濃度影響,故 C 正確,選 C。A 尿酸、B 磷酸鈣、D 胱胺酸皆為 pH 相關結石,故排除。草酸鈣是最常見的結石且不因調整尿液酸鹼而顯著改變,故選 C。","結石與 pH 對照:酸性尿→尿酸、胱胺酸結石(治療靠鹼化尿液);鹼性尿→磷酸鈣、磷酸銨鎂(struvite,感染石);草酸鈣則『pH 無關』,靠減少草酸攝取、增加水分與適量鈣飲食。草酸鈣是臨床最常見結石。口訣:『草酸鈣不挑酸鹼;尿酸胱胺酸怕酸,鹼化尿液來對付』。",[24,26,29,31,33],{"term":25,"count":10},"草酸鈣結石",{"term":27,"count":28},"尿路結石",1,{"term":30,"count":28},"尿液 pH 值",{"term":32,"count":28},"尿酸\u002F胱胺酸結石(酸性尿)",{"term":34,"count":28},"磷酸鈣結石(鹼性尿)",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-061","有關睪丸癌最主要的危險因子，下列何者正確？",61,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-107-1-medical-surgical-077","劉小弟 13 歲，至海邊戲水不慎發生溺水，到達急診時體溫：34℃、心跳：102 次\u002F分、呼吸：32 次\u002F分、血壓：80\u002F60 mmHg，呼吸音出現瀰漫性水泡音，胸部 X 光呈現肺水腫。依據上述資料，以臺灣急診檢傷急迫度分級量表（TTAS）判斷病人目前溺水之嚴重程度，下列何者正確？",77,107,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-108-1-medical-surgical-011","下列何者為食道重建術後最嚴重的合併症？",11,108,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-109-1-medical-surgical-049","有關氣喘病人使用糖皮質類固醇吸入劑（glucocorticoid inhaled medication）之護理指導，下列何者正確？",49,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-013","有關上腸胃道攝影的敘述，下列何者正確？①檢查前無需禁食 ②檢查前需清潔灌腸 ③檢查後多喝開水以促使鋇劑排出 ④檢查後 2～3 天可能解白色糞便，為正常反應",13,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-047","有關燒傷的病生理變化，下列何者錯誤？",47,111,"2026-09-04",1788510698813]