[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-066","nurse-107-1-medical-surgical-066",107,1,66,"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？",{"A":14,"B":15,"C":16,"D":17},"第二期","第三期","第四期","第五期","C",null,[],"本題考點為慢性腎臟病依腎絲球過濾率(GFR)的分期。CKD分期以GFR為唯一依據:第一期≥90、第二期60–89、第三期30–59、第四期15–29、第五期\u003C15 mL\u002Fmin\u002F1.73m²。本題GFR為20,落在15–29區間,故屬第四期,選C。A第二期需GFR 60–89、B第三期需30–59、D第五期需\u003C15,數值皆與20不符。肌酸酐8.0 mg\u002FdL明顯偏高與GFR嚴重下降一致,但分期判讀應以GFR區間為準,肌酸酐僅為佐證。","記憶口訣以90為起點,每一期下降30\u002F30\u002F15:90–60–30–15。第三期常再細分3a(45–59)與3b(30–44)。第四期病人應開始準備透析或移植的衛教與血管通路評估;第五期即末期腎病(ESRD)。GFR受年齡、性別、肌肉量影響,臨床多以eGFR公式(如CKD-EPI)估算,單看肌酸酐易被肌肉量干擾,故分期一律回到GFR。",[24,27,30,32],{"term":25,"count":26},"腎絲球過濾率",5,{"term":28,"count":29},"慢性腎臟病分期",3,{"term":31,"count":10},"第四期CKD",{"term":33,"count":10},"eGFR",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-067","有關副甲狀腺機能亢進病人之臨床表徵，下列何者正確？①便祕 ②低血鈣 ③骨質疏鬆 ④心律不整 ⑤高血磷",67,{"webId":40,"stem":41,"number":29,"year":42,"session":10},"nurse-108-1-medical-surgical-003","有關顱內壓升高的治療，下列何者錯誤？",108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-medical-surgical-017","針對退化性關節炎病人之護理指導，下列何者不適當？",17,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-medical-surgical-055","有關護理師給予氣切造口（tracheostomy）病人抽痰時，下列措施何者最重要？",55,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-medical-surgical-019","王先生開放性骨折日前出院返家，近日發燒、寒顫、躁動不安、患肢持續性疼痛及拒絕移動關節或觸碰患肢。下列何者為其最可能的合併症？",19,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-053","全球慢性阻塞性肺疾病倡議組織（Global Initiative for Chronic Obstructive Lung Disease, GOLD）將 COPD 嚴重度分為 GOLD 1～4 級，下列何者為分級依據？",53,112,"2026-09-04",1788510703080]