[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-內外科護理學-063","nurse-110-1-medical-surgical-063",110,1,63,"泌尿道結石成分為尿酸時之處置與照護，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可使用 Probencid 降低血中尿酸值，避免復發","攝取鹼性食物（如肉類、乾梅或穀類等），促使尿液鹼化","避免攝取香菇、豆類、海鮮與內臟等，減少尿酸形成","需維持每日尿量，可多飲用開水、茶或啤酒等，增加尿量","C",null,[],"本題考點在於尿酸結石的飲食與預防照護。尿酸結石與高普林代謝相關，應避免香菇、豆類、海鮮與內臟等高普林食物以減少尿酸生成，故選C。選項A的藥名「Probencid」屬促尿酸排泄劑，會增加尿中尿酸而非降低血中尿酸避免復發，敘述方向不符。選項B錯在肉類、乾梅、穀類屬酸性食物，會使尿液酸化而非鹼化，尿酸結石防治反需鹼化尿液（如檸檬酸鹽），選項將酸鹼性標反。選項D錯在啤酒含普林且會促進尿酸生成、亦利尿脫水，不利尿酸結石病人，應以白開水為主。","結石依成分分型照護：尿酸結石→鹼化尿液（枸櫞酸鉀）、低普林飲食、大量白開水；草酸鈣結石→限草酸（菠菜、堅果、濃茶）；磷酸鈣\u002F鳥糞石→常與感染相關需酸化尿液。記憶訣竅：「尿酸怕酸，要把尿變鹼」。高普林紅榜：內臟、海鮮、濃肉湯、香菇、豆類、啤酒。每日尿量目標約2000–3000毫升以稀釋結晶。可連結：普林代謝、尿液酸鹼化、枸櫞酸鹽、草酸鈣結石對比。",[24,26,28,30],{"term":25,"count":10},"尿酸結石",{"term":27,"count":10},"高普林飲食",{"term":29,"count":10},"尿液鹼化",{"term":31,"count":10},"結石成分分型",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-medical-surgical-064","有關膀胱癌的診斷檢查與治療，下列何者錯誤？",64,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-medical-surgical-080","有關腸病毒的敘述，下列何者錯誤？",80,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-111-2-medical-surgical-014","有關消化性潰瘍的敘述，下列何者正確？",14,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-medical-surgical-052","下列何者不是肺水腫病人之典型臨床表徵？",52,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-medical-surgical-026","相較於何杰金氏病，有關非何杰金氏淋巴瘤之敘述，下列何者錯誤？",26,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-020","下列何者為右心衰竭的臨床表徵？",20,115,"2026-09-04",1788510721382]