[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-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-109-2-內外科護理學-060","nurse-109-2-medical-surgical-060",109,2,60,"有關膀胱癌的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"初期最常見的症狀是無痛性間歇或持續血尿","好發於膀胱外側壁、膀胱三角，以泌尿上皮癌最多","橡膠製造業、美髮業與吸菸者都是高危險族群","以腎臟與淋巴轉移最為常見，主要轉移到胸腔淋巴結","D",null,[],"本題考點是膀胱癌的臨床特徵與轉移途徑，須找出「錯誤」項。考點在於辨識膀胱癌局部侵犯後主要經淋巴轉移至骨盆腔淋巴結，並可血行轉移至肝、肺、骨，而非「以腎臟轉移為主、主要轉移到胸腔淋巴結」，故D敘述錯誤。A正確，無痛性間歇或持續性血尿是最常見的初期症狀。B正確，好發於膀胱側壁與膀胱三角區，組織型態以泌尿上皮癌（移行細胞癌）最多。C正確，橡膠與染料製造業、美髮業因接觸芳香胺，加上吸菸，皆為高危險族群。故唯一錯誤在D的轉移敘述。","膀胱癌以泌尿上皮（移行細胞）癌為主，致癌因子集中在芳香胺暴露（染料、橡膠、油漆、美髮）與吸菸，故職業史與菸史是重要問診。臨床標記為「無痛性血尿」——痛與血尿並存反而更像結石或感染。局部先侵犯膀胱肌層，續而淋巴轉移到骨盆淋巴結，遠端血行轉移常見於肝、肺、骨。診斷靠膀胱鏡加切片、尿液細胞學。記憶：「無痛血尿要想到膀胱癌、芳香胺與菸是元凶」。",[24,27,29,32],{"term":25,"count":26},"膀胱癌",7,{"term":28,"count":26},"無痛性血尿",{"term":30,"count":31},"泌尿上皮癌",1,{"term":33,"count":31},"芳香胺與吸菸危險因子",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-061","有關壓力性尿失禁的治療與照護，下列何者錯誤？",61,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-medical-surgical-077","依據「臺灣急診檢傷與急迫度分級量表」（TTAS），病人出現中樞性疼痛程度為 4～7 分，級數應為下列何者？",77,110,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-111-1-medical-surgical-011","有關預防傾倒症候群（Dumping Syndrome）的護理指導，下列何者正確？",11,111,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-112-1-medical-surgical-049","有關全身性紅斑性狼瘡病人之護理指導，下列何者錯誤？",49,112,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-113-1-medical-surgical-043","有關抗利尿激素分泌不當症候群（SIADH）病人的臨床照護，下列何者錯誤？",43,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-medical-surgical-037","有關尿液檢查之敘述，下列何者錯誤？",37,114,"2026-09-04",1788510716832]