[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-108-2-內外科護理學-066","nurse-108-2-medical-surgical-066",108,2,66,"有關腎盂腎炎的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"糖尿病、尿路結石是其危險因子","C 反應蛋白質（CRP）值會增高","會有肋骨脊柱角處疼痛","急性期時應限制液體攝取量","D",null,[],"本題考點為腎盂腎炎(pyelonephritis)的照護原則，須找出錯誤敘述。急性期為沖洗尿路細菌、稀釋尿液並促進排除病原，原則上應鼓勵充足水分攝取，故「急性期時應限制液體攝取量」錯誤，選 D。選項 A 糖尿病與尿路結石造成尿滯留與免疫下降，確為腎盂腎炎危險因子，正確。選項 B 腎盂腎炎屬細菌感染發炎，發炎指標 C 反應蛋白(CRP)會升高，正確。選項 C 肋骨脊柱角(costovertebral angle)壓痛或叩痛是腎盂腎炎典型體徵，正確。故唯有限水一項與正確處理相反。","上泌尿道感染照護重點：足量飲水(每日約 2000-3000 mL，無禁忌時)沖刷尿路、規律排空膀胱、完成整個療程抗生素避免復發、CVA 叩痛評估。與下泌尿道感染共通在多喝水;差別在腎盂腎炎多有發燒、寒顫、腰痛等全身與上尿路徵象。除非合併心腎功能不全需限水，否則急性期不限水。",[24,27,29,31,34],{"term":25,"count":26},"肋骨脊柱角壓痛",3,{"term":28,"count":10},"腎盂腎炎",{"term":30,"count":10},"危險因子",{"term":32,"count":33},"多喝水沖洗尿路",1,{"term":35,"count":33},"CRP 發炎指標",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-medical-surgical-067","有關糖尿病酮酸中毒（DKA）之處置，下列何者錯誤？",67,{"webId":42,"stem":43,"number":26,"year":44,"session":10},"nurse-109-2-medical-surgical-003","有關慢性硬膜下出血（chronic subdural hematoma；chronic SDH）之敘述，下列何者正確？",109,{"webId":46,"stem":47,"number":48,"year":49,"session":33},"nurse-110-1-medical-surgical-017","有關胃食道逆流的居家照護注意事項，下列何者錯誤？",17,110,{"webId":51,"stem":52,"number":53,"year":54,"session":33},"nurse-111-1-medical-surgical-055","有關呼吸器的使用，通常會設定每分鐘數次深呼吸，其所要預防之首要合併症，下列何者正確？",55,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-medical-surgical-019","承上題，下列何者為病人最適當的處置？",19,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-medical-surgical-033","有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",33,113,"2026-09-04",1788510706756]