[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-109-1-內外科護理學-059","nurse-109-1-medical-surgical-059",109,1,59,"有關急性腎盂腎炎之敘述，下列何者正確？①常見於下泌尿道上行性感染 ②常見有肋骨脊柱角處疼痛 ③紅血球沉降速率（ESR）下降 ④急性期時應大量攝取液體",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點為急性腎盂腎炎的臨床特徵。①下泌尿道上行性感染是最常見致病途徑、②肋骨脊柱角(CVA)壓痛為腎盂腎炎典型徵象、④急性期鼓勵大量攝取液體以增加尿量沖刷細菌,三者正確,故選B(①②④)。③錯誤在於紅血球沉降速率(ESR)在急性感染發炎時會上升而非下降,ESR為非特異性發炎指標,感染時升高;因此包含③的A、C、D選項均錯,正確組合為①②④,即B。","腎盂腎炎屬上泌尿道感染,與膀胱炎(下泌尿道)區別在有發燒、寒顫、CVA壓痛等全身與腰側症狀。致病菌以大腸桿菌上行感染最常見。急性期充足水分沖刷利尿(除非合併腎功能不全或阻塞)。ESR、CRP、白血球升高皆反映發炎活性上升。",[24,27,29,32],{"term":25,"count":26},"急性腎盂腎炎",3,{"term":28,"count":26},"肋骨脊柱角壓痛",{"term":30,"count":31},"上行性感染",2,{"term":33,"count":10},"ESR發炎時上升",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-060","血液透析病人之液體攝取量的估計原則，下列何者最適當？",60,{"webId":40,"stem":41,"number":42,"year":9,"session":31},"nurse-109-2-medical-surgical-076","有關「臺灣急診檢傷與急迫度分級量表」（TTAS）的敘述，下列何者正確？",76,{"webId":44,"stem":45,"number":46,"year":47,"session":31},"nurse-110-2-medical-surgical-010","有關腸造瘻口護理指導的敘述，下列何者錯誤？",10,110,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-111-2-medical-surgical-048","有關過敏反應護理指導的敘述，下列何者錯誤？",48,111,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-112-3-medical-surgical-012","下列何者為診斷骨髓炎最準確的方法？",12,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-medical-surgical-006","有關胃食道逆流症的護理指導，下列敘述何者錯誤？",6,114,"2026-09-04",1788510712851]