[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-108-1-內外科護理學-064","nurse-108-1-medical-surgical-064",108,1,64,"有關腎病症候群病人之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"採低鈉、低鉀、低蛋白飲食","使用 Prednisolone 以緩解蛋白尿","給予 Furosemide（Lasix）用以控制水腫","使用抗凝劑預防腎靜脈血栓","A",null,[],"本題考點在於腎病症候群的飲食與處置原則。腎病症候群因大量蛋白尿導致低白蛋白血症與全身水腫，飲食應限鈉以控水腫，但蛋白質須給予適量至正常量以補償流失，採「低蛋白」反而加重負氮平衡與營養不良，故錯誤敘述選 A。（B）正確，類固醇 Prednisolone 抑制免疫發炎、減少腎絲球通透與蛋白尿。（C）正確，利尿劑 Furosemide 促進排鈉排水以控制水腫。（D）正確，因抗凝血因子隨尿流失導致高凝狀態，使用抗凝劑可預防腎靜脈血栓。","病生理主軸：腎絲球濾過膜通透性增加→大量白蛋白流失（>3.5 g\u002F日）→低白蛋白血症→血漿膠體滲透壓下降→水腫，並代償性肝合成脂蛋白造成高血脂。抗凝血酶 III 等隨尿流失使血液高凝、易生腎靜脈血栓。飲食記憶：「限鈉不限蛋白（給適量優質蛋白）、控水腫、防血栓」；相對地慢性腎衰竭才須限蛋白。連結概念：低白蛋白血症、膠體滲透壓、高血脂、抗凝血酶 III 流失、腎靜脈血栓。",[24,27,30,32,34],{"term":25,"count":26},"腎病症候群",7,{"term":28,"count":29},"低白蛋白血症",2,{"term":31,"count":10},"大量蛋白尿",{"term":33,"count":10},"適量蛋白限鈉飲食",{"term":35,"count":10},"腎靜脈血栓預防",[37,41,45,49,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"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,{"webId":42,"stem":43,"number":10,"year":44,"session":10},"nurse-109-1-medical-surgical-001","有關脊髓休克（Spinal shock）的敘述，下列何者錯誤？",109,{"webId":46,"stem":47,"number":48,"year":44,"session":29},"nurse-109-2-medical-surgical-015","有關腹膜炎病人身體評估之發現，下列何者正確？①腹痛輻射至背部或肩膀 ②腹部肌肉僵硬如木板 ③觸診腹部時出現壓痛及反彈痛 ④腸蠕動音增強",15,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-110-2-medical-surgical-053","接受胸腔放液後的病人，下列何者最需緊急處理？",53,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-medical-surgical-017","有關骨折病人發生脂肪栓塞之敘述，下列何者錯誤？",17,112,{"webId":60,"stem":61,"number":10,"year":62,"session":10},"nurse-113-1-medical-surgical-001","有關多發性硬化症之診斷檢查，下列何者錯誤？",113,"2026-09-04",1788510710069]