[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-061":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-110-1-內外科護理學-061","nurse-110-1-medical-surgical-061",110,1,61,"有關血液透析（HD）與持續可攜帶式腹膜透析（CAPD）治療的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"HD 較 CAPD 蛋白質流失較多","CAPD 需承擔較多的自我照顧活動","CAPD 易發生血中三酸甘油脂增加","HD 過程，易發生低血壓及頭痛、抽筋不平衡症候群","A",null,[],"本題考點在於比較血液透析（HD）與持續可攜帶式腹膜透析（CAPD）的差異。事實上CAPD透析液長期停留腹腔，蛋白質經腹膜流失較HD多，故「HD較CAPD蛋白質流失較多」的敘述錯誤，為本題答案A。選項B正確，CAPD多由病人居家自行換液，須承擔較多自我照顧活動。選項C正確，CAPD透析液含葡萄糖經腹膜吸收，易致血中三酸甘油脂上升。選項D正確，HD過程體液快速移除，易發生低血壓，及因溶質快速下降引起的透析不平衡症候群，出現頭痛、抽筋。故蛋白質流失方向判斷錯誤者為A。","兩種透析對比記憶表：HD為間歇、快速、須動靜脈瘻管、易低血壓與不平衡症候群、蛋白流失較少；CAPD為連續、緩和、居家自主性高、腹膜炎風險高、葡萄糖吸收致高血脂與體重增加、蛋白質流失較多。不平衡症候群機轉為血中尿素快速下降而腦部下降慢，形成滲透梯度致腦水腫、頭痛抽筋。CAPD高血脂與蛋白流失皆源自「腹膜作為半透膜」的雙向物質交換。可連結：動靜脈瘻管、腹膜炎、透析不平衡症候群、葡萄糖負荷。",[24,27,30,32],{"term":25,"count":26},"血液透析",6,{"term":28,"count":29},"腹膜透析",3,{"term":31,"count":29},"透析不平衡症候群",{"term":33,"count":10},"蛋白質流失",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-062","有關尿液檢查目的之敘述，下列何者正確？",62,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-110-2-medical-surgical-078","下列何者為病人在休克進行期或不可逆期出現的表徵？",78,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-111-2-medical-surgical-012","有關下腸胃道攝影檢查的敘述，下列何者正確？",12,111,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-112-2-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現營養少於身體需要時之護理措施，下列何者錯誤？",50,112,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-113-3-medical-surgical-024","林小姐，45 歲，近三個月反覆發燒入院，診斷急性骨髓性白血病（AML），為了判定化學治療或骨髓移植的治療效果，進行骨髓抽吸術，下列敘述何者正確？①術中不用麻醉 ②骨髓抽吸僅檢查白血球的數目、大小 ③可於後腸骨嵴處抽取 ④術後需使用砂袋加壓",24,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-medical-surgical-018","有關慢性靜脈功能不全引起的鬱滯性潰瘍（stasis ulcer）的肢體評估，下列敘述何者正確？①潰瘍部位多發生於足踝內側       ②皮膚出現色素沉著   ③肢體呈現凹陷性水腫   ④趾甲變厚   ⑤腳趾潰瘍",18,115,"2026-09-04",1788510721369]