[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-062","nurse-109-1-medical-surgical-062",109,1,62,"張先生，68 歲，罹患糖尿病、高血壓，冠心症長期服用降血糖藥物、抗凝血劑及高血壓藥物，但血壓仍維持在 150～170／90～110 mmHg。近日因血尿、下肢水腫、發燒而入院，住院期間病人不宜接受下列何項診斷性檢查？",{"A":14,"B":15,"C":16,"D":17},"靜脈腎盂攝影","酚紅試驗","肌酸酐廓清試驗","腎臟活體組織切片","D",null,[],"本題考點為腎臟活體組織切片的禁忌考量。病人罹患高血壓且血壓控制不良(150~170\u002F90~110 mmHg),又長期服用抗凝血劑,腎臟切片為侵入性穿刺,在未控制的高血壓與抗凝狀態下出血風險極高,故此時不宜接受腎臟活體組織切片,選D。A靜脈腎盂攝影、B酚紅試驗、C肌酸酐廓清試驗相對為非侵入或低出血風險的功能性檢查,危險性遠低於穿刺切片,故住院期間應避免的是D。","腎切片的絕對或相對禁忌包括未控制高血壓、出血傾向或抗凝治療、單腎、尿路感染。此病人同時踩到「高血壓未控」與「抗凝血劑」兩雷,術後腎周血腫甚至大出血風險高。切片前須停抗凝、控制血壓、驗凝血功能與備血,是重要延伸考點。",[24,27,29,31],{"term":25,"count":26},"侵入性檢查",2,{"term":28,"count":10},"腎臟活體組織切片禁忌",{"term":30,"count":10},"抗凝血劑出血風險",{"term":32,"count":10},"未控制高血壓",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-063","體液容積不足時之臨床表徵，下列何者正確？①口渴 ②體溫上升 ③尿比重下降 ④血比容積升高",63,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-079","有關有機磷農藥之敘述，下列何者錯誤？",79,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-110-2-medical-surgical-013","有關上腸胃道攝影的敘述，下列何者正確？①檢查前無需禁食 ②檢查前需清潔灌腸 ③檢查後多喝開水以促使鋇劑排出 ④檢查後 2～3 天可能解白色糞便，為正常反應",13,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-051","下列何者為與第一型立即性過敏反應有密切關聯的免疫球蛋白？",51,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-medical-surgical-015","有關美尼爾氏症（Meniere’s syndrome）之敘述，下列何者正確？①內耳淋巴水腫引起 ②眩暈及耳朵疼痛是典型症狀 ③可能導致單側傳導性聽力喪失 ④耳鳴是典型症狀",15,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-medical-surgical-009","有關胰臟炎急性發作及其治療的敘述，下列何者錯誤？",9,114,"2026-09-04",1788510712882]