[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-107-1-內外科護理學-062","nurse-107-1-medical-surgical-062",107,1,62,"末期腎疾病（ESRD）病人需接受透析治療的指標，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"CCr＜10 mL\u002Fmin","Serum Creatinine＜5 g\u002FdL","BUN＞100 mg\u002FdL","持續地噁心嘔吐","B",null,[],"本題考點為末期腎疾病開始透析的臨床指標。透析的啟動依據是腎功能嚴重下降與尿毒症狀出現,故各項數值應呈現腎功能惡化的方向。B寫Serum Creatinine\u003C5 g\u002FdL,方向與單位皆錯:透析指標的肌酸酐應是「升高」而非低下,且正常單位為mg\u002FdL,一般惡化到約10 mg\u002FdL上下才符合,故B為錯誤選項。A肌酸酐廓清率CCr\u003C10 mL\u002Fmin代表腎絲球過濾嚴重不足,是明確透析指標;C血中尿素氮BUN>100 mg\u002FdL反映含氮廢物蓄積;D持續噁心嘔吐屬尿毒症消化道表現,皆為正確指標。","透析啟動的判斷可用尿毒症的AEIOU記憶:Acidosis(頑固代謝性酸中毒)、Electrolyte(高血鉀等電解質失衡)、Intoxication(藥物中毒)、Overload(頑固性體液過量、肺水腫)、Uremia(尿毒症狀如噁心嘔吐、心包膜炎、腦病變)。CCr與GFR愈低代表腎功能愈差,與肌酸酐一升一降剛好相反,是常考的方向陷阱。",[24,27,30,32,34],{"term":25,"count":26},"肌酸酐廓清率",3,{"term":28,"count":29},"血中尿素氮",2,{"term":31,"count":10},"末期腎疾病",{"term":33,"count":10},"透析啟動指標",{"term":35,"count":10},"尿毒症",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-1-medical-surgical-063","有關腎盂腎炎之敘述，下列何者錯誤？",63,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-107-2-medical-surgical-079","護理師為一位跌倒的老先生施行基本救命術時，應以下列何種方式打開其呼吸道？",79,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-108-2-medical-surgical-013","病人主訴「左上腹疼痛，吃了東西後 1 小時更痛」，下列何者為其最可能之診斷？",13,108,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-109-2-medical-surgical-051","下列何者不屬於第三型過敏性反應？",51,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-medical-surgical-015","有關癌症病人貧血問題之敘述，下列何者錯誤？",15,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-049","有關全身性紅斑性狼瘡病人之護理指導，下列何者錯誤？",49,112,"2026-09-04",1788510703041]