[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-063","nurse-107-2-medical-surgical-063",107,2,63,"下列何者為確立無痛性血尿是否為膀胱癌之最佳診斷檢查？",{"A":14,"B":15,"C":16,"D":17},"膀胱鏡暨切片","尿液細胞學檢查","核磁共振檢查","靜脈腎盂攝影術","A",null,[],"本題考點在無痛性血尿懷疑膀胱癌時的確診工具。依診斷準則,膀胱鏡可直接目視膀胱內壁腫瘤並同時進行切片取得組織病理,是確立膀胱癌的黃金標準,故選 A。選項 B 尿液細胞學檢查偵測脫落癌細胞,適合篩檢與追蹤,但敏感度不足以單獨確診,陰性也不能排除;選項 C 核磁共振主要用於評估腫瘤侵犯深度與分期,無法取得組織確診;選項 D 靜脈腎盂攝影術用於評估上泌尿道結構與充盈缺損,對膀胱黏膜微小病灶敏感度低。確診腫瘤必須有組織病理,故膀胱鏡加切片最佳。","無痛性血尿是膀胱癌的典型警訊,任何無痛性肉眼血尿都須排除泌尿道惡性腫瘤。診斷流程常先尿液細胞學與影像評估上泌尿道,再以膀胱鏡加經尿道切除(TUR)兼具診斷與治療(取得病理並分期)。原則:凡確立惡性腫瘤,終需病理組織證據,影像只能提示與分期。口訣:確診看切片、分期看影像、篩檢看細胞學。",[24,27,30,32],{"term":25,"count":26},"無痛性血尿",7,{"term":28,"count":29},"膀胱癌診斷",1,{"term":31,"count":29},"膀胱鏡切片",{"term":33,"count":29},"組織病理確診",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-064","有關預防膀胱癌之護理指導，下列何者不適當？",64,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-medical-surgical-080","有關 GFR 為 15 mL\u002Fmin\u002F1.73 m 2 之慢性腎臟病病人之護理指導，下列何者最適當？",80,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-medical-surgical-014","有關腦脊髓液的檢查，下列何者異常？",14,109,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-110-1-medical-surgical-052","車禍外傷病人出現胸部右側聽不到呼吸音，且氣管向左側偏移，下列處置何者最適當？",52,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-016","白老太太 76 歲，有高血壓及糖尿病，配戴假牙，下列何者不是預防齲齒的護理指導？",16,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現營養少於身體需要時之護理措施，下列何者錯誤？",50,112,"2026-09-04",1788510725451]