[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-063":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-063","nurse-107-1-medical-surgical-063",107,1,63,"有關腎盂腎炎之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常見於下泌尿道上行性感染","C-反應蛋白質（C-Reactive Protein, CRP）值會增高","常見有肋骨脊柱角處疼痛","急性期時應限制液體攝取量","D",null,[],"本題考點為腎盂腎炎的病因、表徵與液體照護。腎盂腎炎為細菌感染腎盂與腎實質的發炎,依感染沖刷原則,急性期應鼓勵每日攝取足量水分(約2000–3000 mL)以稀釋尿液、沖刷細菌,故D「急性期應限制液體攝取」與治療原則相反,為錯誤選項。A多由下泌尿道細菌上行性感染引起,路徑正確;B感染發炎使C-反應蛋白(CRP)這類急性期反應物上升;C肋骨脊柱角(CVA)叩擊痛是腎盂腎炎的典型體徵,反映腎臟發炎腫脹,三者皆為正確敘述。","上行性感染路徑:尿道→膀胱→輸尿管→腎盂,女性尿道短故較易發生。CVA壓痛(Costovertebral angle tenderness)是叩診腎區誘發的深部疼痛,臨床用來與單純膀胱炎區分。液體管理是常考陷阱:多數泌尿道感染都「鼓勵多喝水」,唯有心腎功能不全需限水時例外。CRP與白血球、發燒共同反映全身性發炎程度。",[24,27,30,32,34],{"term":25,"count":26},"肋骨脊柱角壓痛",3,{"term":28,"count":29},"腎盂腎炎",2,{"term":31,"count":29},"上行性感染",{"term":33,"count":10},"C-反應蛋白",{"term":35,"count":10},"液體攝取原則",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-1-medical-surgical-064","有關急性腎絲球腎炎之敘述，下列何者錯誤？",64,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-107-2-medical-surgical-080","有關血中賀爾蒙於休克代償機轉中之變化，下列何者錯誤？",80,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-108-2-medical-surgical-014","病人骨盆骨折後第 2 天，突然發生意識改變、呼吸與心跳加速、瘀斑及發燒等徵象，下列何者為病人最可能發生的問題？",14,108,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-109-2-medical-surgical-052","有關吸入性肺炎之臨床症狀，下列何者須立即處理？",52,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-medical-surgical-016","有關膽結石好發之高危險群，下列何者最不可能？",16,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現伺機性感染之敘述，下列何者正確？",50,112,"2026-09-04",1788510703047]