[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"lastmod":66},"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-065","nurse-107-1-medical-surgical-065",107,1,65,"有關早期慢性腎臟病病人服用血管收縮素轉化酶抑制劑（Angiotensin Converting Enzyme Inhibitors, ACEI）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可預防蛋白尿之產生","易有乾咳副作用","可能導致低血壓","可能導致低血鉀","D",null,[],"本題考點為ACEI在慢性腎臟病的作用與副作用。ACEI抑制血管收縮素轉化酶,減少Angiotensin II生成,同時降低醛固酮(aldosterone)分泌;依醛固酮下降會使鉀離子滯留的機轉,ACEI造成的是「高血鉀」而非低血鉀,故D為錯誤選項。A擴張腎絲球出球小動脈、降低絲球內壓,可減少蛋白尿並保護腎臟;B抑制緩激肽(bradykinin)分解,易引發乾咳;C血管擴張與血容量調整可能造成低血壓,三者皆為正確敘述。","ACEI腎保護的關鍵在選擇性擴張「出球小動脈」,降低腎絲球內高壓,長期延緩腎功能惡化並減少蛋白尿,故為糖尿病腎病變與早期CKD的首選。副作用記憶「乾咳+高血鉀+血管性水腫」:乾咳源於緩激肽與P物質蓄積;高血鉀源於醛固酮下降。用藥須監測血鉀與肌酸酐,腎功能不全者更需警覺高血鉀。ARB可避開乾咳但仍有高血鉀風險。",[24,27,30,33,36],{"term":25,"count":26},"高血鉀",7,{"term":28,"count":29},"醛固酮",4,{"term":31,"count":32},"蛋白尿",3,{"term":34,"count":35},"緩激肽乾咳",2,{"term":37,"count":10},"血管收縮素轉化酶抑制劑",[39,43,47,51,56,61],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-107-1-medical-surgical-066","慢性腎臟病（CKD）病人之抽血檢查結果：GFR: 20c.c.\u002Fmin\u002F1.73m 2 、serum Creatinine: 8.0 mg\u002FdL，依此結果，病人是處於 CKD 的第幾期？",66,{"webId":44,"stem":45,"number":35,"year":46,"session":10},"nurse-108-1-medical-surgical-002","有關正子電腦斷層攝影術（Positron Emission Tomography, PET）的敘述，下列何者正確？",108,{"webId":48,"stem":49,"number":50,"year":46,"session":35},"nurse-108-2-medical-surgical-016","有關脊髓攝影術檢查前後之護理措施，下列何者錯誤？",16,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"nurse-109-2-medical-surgical-054","有關呼吸器出現壓力過低警示（low pressure alarm）之處理，下列何者最適當？",54,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-medical-surgical-018","有關腕隧道症候群的敘述，下列何者正確？",18,111,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-112-1-medical-surgical-052","有關慢性咳嗽病人進行支氣管鏡檢查後，下列護理措施何者最適宜？",52,112,"2026-09-04",1788510703074]