[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-063":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":26},"nurse-106-2-內外科護理學-063","nurse-106-2-medical-surgical-063",106,2,63,"有關腎前性急性腎衰竭之檢驗數據，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血液尿素氮與肌酸酐的比>20：1","尿鈉離子濃度>40 mEg\u002FL","尿比重>1.015","尿滲透壓增加至 500 mOsm\u002FL","B",null,[],"本題考點為腎前性急性腎衰竭的檢驗特徵。腎前性因腎灌流不足、腎小管功能仍完好,身體會極力保鈉保水以維持容積:BUN\u002FCr 比>20:1(A 正確)、尿鈉『降低』(常\u003C20 mEq\u002FL)、尿比重升高>1.015(C 正確)、尿滲透壓升高>500 mOsm\u002FL(D 正確)。B 稱『尿鈉離子濃度>40 mEq\u002FL』與腎前性的保鈉表現相反(>40 反而提示腎因性\u002F腎小管壞死),故為錯誤選項,選 B。故選 B。","腎前 vs 腎因(ATN)鑑別核心是『腎小管還能不能保鈉濃縮尿液』:腎前性小管完好→尿鈉↓(\u003C20)、FeNa\u003C1%、尿比重與滲透壓↑、BUN\u002FCr>20:1(BUN 隨水回吸而不成比例上升);ATN 小管壞死→尿鈉>40、FeNa>2%、尿液等張(比重約 1.010)、BUN\u002FCr 回到約 10–15:1。口訣:『腎前拼命省鈉保水,尿濃鈉低;ATN 省不了,尿稀鈉高』。",[24,27,29,31,33],{"term":25,"count":26},"腎前性急性腎衰竭",1,{"term":28,"count":26},"尿鈉濃度",{"term":30,"count":26},"BUN\u002FCr 比值",{"term":32,"count":26},"尿滲透壓與比重",{"term":34,"count":26},"鈉排泄分數(FeNa)",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-064","有關雙胍類降血糖藥物 Metformin（Glucophage）之敘述，下列何者正確？",64,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-107-1-medical-surgical-080","有關登革熱之處置，下列何者錯誤？",80,107,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-108-1-medical-surgical-014","有關橫膈食道裂孔疝氣的臨床表徵，下列何者錯誤？",14,108,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-109-1-medical-surgical-052","外傷性肋骨骨折病人可能出現之徵候與症狀，下列何者正確？",52,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-016","李先生因胃癌接受全胃切除術，術後開始進食稀飯，約 30 分鐘後出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",16,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-050","接觸性皮膚炎病人因搔癢不適至門診治療，下列護理指導何者錯誤？",50,111,"2026-09-04",1788510698858]