[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-107-2-內外科護理學-048","nurse-107-2-medical-surgical-048",107,2,48,"有關大面積重度燒傷初期（48 小時內）對於腎臟系統的影響，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"組織破壞釋出大量肌球蛋白，引起急性腎小管壞死","腎絲球過濾率增加，引起急性腎衰竭","少尿、尿比重增加","必須補充水分來防止永久性的腎損傷","B",null,[],"本題考點是大面積燒傷初期(休克期)對腎臟的影響。燒傷 48 小時內大量體液滲漏、血容積驟降,腎血流與腎絲球過濾率『下降』而非增加,導致少尿與急性腎衰竭,故『腎絲球過濾率增加』敘述錯誤,選 B。(A)肌肉壞死釋出肌球蛋白阻塞腎小管、造成急性腎小管壞死,正確;(C)血容積不足致少尿、尿液濃縮使尿比重上升,正確;(D)須積極補充水分維持腎灌流以防永久腎損傷,正確。","燒傷初期(0 至 48 小時休克期):微血管通透性增加使血漿滲漏至組織,造成低血容積,心輸出與腎血流下降,GFR 下降而少尿、尿比重高、BUN 與 Cr 上升。加上肌肉壞死釋出肌球蛋白造成色素性腎病與 ATN。補液依 Parkland 公式(4mL×kg×%TBSA),以尿量(成人 0.5 至 1mL\u002Fkg\u002Fhr)為復甦指標。48 小時後進入利尿期。",[24,27,30,32,34],{"term":25,"count":26},"急性腎衰竭",8,{"term":28,"count":29},"腎絲球過濾率",5,{"term":31,"count":10},"燒傷休克期",{"term":33,"count":10},"少尿",{"term":35,"count":36},"肌球蛋白",1,[38,42,47,51,56,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-107-2-medical-surgical-049","有關評估火場中病人是否有吸入性灼傷之敘述，下列何者錯誤？",49,{"webId":43,"stem":44,"number":45,"year":46,"session":36},"nurse-108-1-medical-surgical-065","有關急性腎絲球腎炎（AGN）急性期之護理指導，下列何者正確？①多下床活動以避免下肢水腫 ②採高碳水化合物、低蛋白飲食 ③預防感染措施 ④鼓勵多喝水",65,108,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-108-2-medical-surgical-079","有關霍亂的症狀與治療之敘述，下列何者錯誤？",79,{"webId":52,"stem":53,"number":54,"year":55,"session":36},"nurse-110-1-medical-surgical-037","有關慢性淋巴性白血病的敘述，下列何者錯誤？",37,110,{"webId":57,"stem":58,"number":36,"year":59,"session":10},"nurse-111-2-medical-surgical-001","有關頭部外傷病人顱內壓升高的照護，下列何者錯誤？",111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-2-medical-surgical-035","王先生，67 歲，體重 90 公斤，BMI：30 kg\u002Fm 2 ，平時菸酒不離手且愛吃醃漬食品，下列護理措施何者不適宜？",35,112,"2026-09-04",1788510725323]