[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-108-2-內外科護理學-061","nurse-108-2-medical-surgical-061",108,2,61,"尿流速之檢查結果，最大尿流速為 8 mL\u002F秒，下列何者為最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"急性腎絲球腎炎","前列腺肥大","腎病症候群","急性尿路感染","B",null,[],"本題考點為尿流速檢查數值下降的臨床意義與最可能診斷。正常成人最大尿流速約應大於 15 mL\u002F秒，本題最大尿流速僅 8 mL\u002F秒明顯偏低，代表下泌尿道有出口阻塞，最常見於中老年男性的攝護腺肥大壓迫尿道，故選 B。選項 A 急性腎絲球腎炎屬腎實質發炎，主要表現為血尿、蛋白尿與水腫，非尿流阻塞。選項 C 腎病症候群以大量蛋白尿、低白蛋白血症與水腫為主，也與尿流速下降無直接關係。選項 D 急性尿路感染主要症狀為頻尿、尿急、解尿疼痛，並非以尿流速顯著下降為特徵。故以攝護腺肥大造成出口阻塞最符合。","尿流速(uroflowmetry)反映排尿動力與是否有出口阻塞。最大尿流速偏低(如 \u003C10 mL\u002F秒)強烈提示膀胱出口阻塞，男性最常見攝護腺肥大。攝護腺肥大屬良性增生，壓迫尿道致排尿遲疑、尿流細弱、殘尿與夜尿。鑑別重點：腎絲球病變看蛋白尿血尿，感染看刺激症狀，阻塞看尿流速與殘尿量。",[24,27,30,33,35],{"term":25,"count":26},"攝護腺肥大",7,{"term":28,"count":29},"膀胱出口阻塞",5,{"term":31,"count":32},"尿流速 uroflowmetry",1,{"term":34,"count":32},"最大尿流速正常值",{"term":36,"count":32},"殘尿",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-108-2-medical-surgical-062","對於蔡先生在急診室測得的動脈血氧氣體分析結果：pH 7.25、PaCO 2 31 mmHg、HCO 3- 18 mEq\u002FL 之判讀，下列何者正確？",62,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-109-1-medical-surgical-078","有關過敏性休克的治療與護理指導，下列何者錯誤？",78,109,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-110-1-medical-surgical-012","有關口腔癌的敘述，下列何者正確？",12,110,{"webId":53,"stem":54,"number":55,"year":56,"session":32},"nurse-111-1-medical-surgical-050","有關類風濕性關節炎之敘述，下列何者正確？①手部關節會出現尺側偏斜 ②活動後有僵硬的現象 ③關節 X 光變化呈現關節腔變窄 ④關節腫脹呈現不對稱性",50,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-014","有關病毒性肝炎傳染途徑之敘述，下列何者錯誤？",14,112,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-113-2-medical-surgical-028","40 歲男性病人，入院診斷為二度燒傷，依照帕克蘭公式計算需給予 12,000 c.c. 液體復甦治療，在燒傷後的第一個 8 小時內需補充完成多少輸液？",28,113,"2026-09-04",1788510706702]