[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-109-2-內外科護理學-067","nurse-109-2-medical-surgical-067",109,2,67,"關於持續可攜帶式腹膜透析（CAPD）與血液透析（HD）治療的比較，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"CAPD 治療需要較嚴格的飲食控制","CAPD 需擔負較多的自我照顧活動","CAPD 易出現頭痛、噁心、嘔吐、低血壓症候群","CAPD 對心臟血管方面的影響較大","B",null,[],"本題考點是持續可攜帶式腹膜透析（CAPD）與血液透析（HD）的比較。CAPD由病人自行於居家操作換液、需嚴格無菌技術與每日多次自我照顧，故選項B「需擔負較多自我照顧活動」正確。選項A錯在CAPD屬持續性、清除較和緩，飲食限制反而比HD寬鬆；選項C的頭痛、噁心、嘔吐、低血壓正是HD快速移除溶質造成的透析不平衡症候群，非CAPD特徵；選項D錯在CAPD持續緩慢移除水分與溶質，血流動力學穩定、對心血管影響「較小」而非較大。故正解為B。","兩法核心差異在「速度」與「場域」。HD每週三次、每次數小時快速清除，故血壓與電解質波動大、易生透析不平衡症候群（腦水腫致頭痛嘔吐）與低血壓，飲食及水分限制嚴格。CAPD則24小時持續透析、血流動力學平穩，飲食較自由，但代價是病人須自負無菌換液、腹膜炎風險與蛋白質經腹膜流失。記憶對比表：HD—快、限制嚴、心血管負擔大、依賴機構；CAPD—慢、限制鬆、心血管平穩、依賴自我照顧。選擇取決於病人自理能力、血管條件與生活型態。",[24,27,30,33],{"term":25,"count":26},"血液透析",6,{"term":28,"count":29},"透析不平衡症候群",3,{"term":31,"count":32},"持續可攜帶式腹膜透析",1,{"term":34,"count":32},"自我照顧",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-medical-surgical-068","有關庫欣氏症候群症狀（Cushing’s syndrome）之病理機轉，下列何者正確？",68,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-110-2-medical-surgical-004","顱內動脈瘤（aneurysms）破裂導致蜘蛛膜下腔出血，進行神經學檢查時會出現的徵象，下列何者錯誤？",4,110,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-111-1-medical-surgical-018","有關腕隧道症候群的敘述，下列何者正確？",18,111,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-112-1-medical-surgical-056","有關接受肺葉切除手術病人之護理，下列敘述何者正確？",56,112,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-113-1-medical-surgical-050","有關漢生病（Hansen’s disease）俗稱痲瘋（leprosy）的照護措施，下列何者正確？",50,113,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-2-medical-surgical-044","有關尿崩症病人之臨床表徵，下列何者錯誤？",44,114,"2026-09-04",1788510716916]