[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-060","nurse-109-1-medical-surgical-060",109,1,60,"血液透析病人之液體攝取量的估計原則，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"前一日尿量加排汗量","取決於下肢水腫程度","兩次透析間體重增加以不超過其乾體重 5%","兩次透析間體重增加必須控制在 2.0 公斤以內","C",null,[],"本題考點為血液透析病人的液體攝取估計原則。透析間期兩次透析之間的體重增加反映水分蓄積,臨床以不超過乾體重(dry weight)的5%為安全上限,避免容積過多致高血壓與肺水腫,故選C。A僅以前一日尿量加排汗量估算,忽略透析病人常無尿且需更嚴格限水;B以下肢水腫程度判斷過於主觀不精確;D固定「2.0公斤以內」未依個別乾體重比例調整,不同體重者標準應不同,故以乾體重百分比計算的C最適當。","乾體重是透析後無水腫、無低血壓的理想體重;兩次透析間增重宜控制在乾體重3~5%。過度增重會延長脫水時間、致透析中低血壓與長期心臟負荷。衛教限水常用「500 mL+前日尿量」的個別化公式,並限鈉以降低口渴感。",[24,27,30,32],{"term":25,"count":26},"血液透析",6,{"term":28,"count":29},"乾體重",2,{"term":31,"count":10},"透析間期體重增加",{"term":33,"count":10},"液體限制原則",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-061","有關尿液檢查的敘述，下列何者錯誤？",61,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-077","有關敗血症生理病理機轉之敘述，下列何者正確？",77,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-110-2-medical-surgical-011","有關肝硬化之飲食建議，下列何者正確？",11,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-medical-surgical-049","有關愛滋病病人護理指導的敘述，下列何者正確？",49,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-medical-surgical-013","病人因骨腫瘤接受右腳膝上截肢的照護措施，下列何者最適當？",13,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-medical-surgical-007","有關大腸癌的高危險因子，下列敘述何者正確？",7,114,"2026-09-04",1788510712863]