[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":61},"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-080","nurse-108-1-medical-surgical-080",108,1,80,"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？",{"A":14,"B":15,"C":16,"D":17},"介紹阻緩腎功能惡化的措施","介紹腎臟疾病相關知識","介紹透析治療通路","介紹透析治療合併症","C",null,[],"本題考點為慢性腎臟病分期與衛教重點的對應。GFR 15 mL\u002Fmin\u002F1.73m² 屬第五期（末期腎病，GFR＜15 為終末），已逼近需要腎臟替代治療的階段，此時衛教應聚焦於透析治療通路的預先建立（如動靜脈瘻管），以便及時開始透析，故選 C 最適當。選項 A 介紹延緩惡化措施較適用於早中期（第一至三期）尚有保留空間時。選項 B 介紹疾病基礎知識屬初診斷或早期的衛教重點。選項 D 介紹透析併發症通常是開始透析後或即將透析時的深化衛教，順位在建立通路之後。整體而言，末期首要是備妥通路以銜接透析。","慢性腎臟病依 GFR 分五期：第一期≥90、第二期 60～89、第三期 30～59、第四期 15～29、第五期＜15。衛教隨分期推進：早期重延緩惡化與控制三高，第四期起應教育並選擇腎臟替代治療方式、預先建立通路，第五期進入透析或移植準備。動靜脈瘻管需數週至數月成熟，故要「提早」建立，這是選 C 的臨床設計理由。記憶重點：GFR 破 15＝準備上機，通路先行。連結概念：GFR 分期、動靜脈瘻管成熟期、腎臟替代治療。",[24,27,30,32],{"term":25,"count":26},"慢性腎臟病分期",3,{"term":28,"count":29},"第五期末期腎病",2,{"term":31,"count":10},"透析通路預建",{"term":33,"count":10},"動靜脈瘻管成熟",[35,38,43,47,52,57],{"webId":36,"stem":37,"number":10,"year":9,"session":29},"nurse-108-2-medical-surgical-001","有關病毒性腦膜炎的處置，下列何者正確？",{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-1-medical-surgical-017","有關退化性關節炎的敘述，下列何者正確？",17,109,{"webId":44,"stem":45,"number":46,"year":42,"session":29},"nurse-109-2-medical-surgical-031","有關心絞痛之常用藥物 Nitroglycerine（NTG）之護理指導，下列何者錯誤？",31,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-110-2-medical-surgical-069","有關甲狀腺素製劑使用原則與注意事項，下列何者錯誤？",69,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-medical-surgical-033","接受同步化學放射治療（CCRT）的病人，其抽血報告顯示 WBC 3000\u002FμL、seg 20%、band 5%、 monocyte 12%、Hb 10.5 g\u002FdL、platelet 50000\u002FμL，下列敘述何者錯誤？",33,112,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-113-1-medical-surgical-017","有關心肌梗塞後性生活的建議事項，下列敘述何者正確？①應該儘量避免以免再次發作 ②能量消耗大約與上下兩層樓相當 ③飽餐後或酒後比較適合性行為 ④性行為事後應預防性服用NTG ⑤應在熟悉的環境與伴侶進行以避免過度緊張與刺激 ⑥環境的室溫勿太冷或太熱",113,"2026-09-04",1788510710212]