[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-065":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-110-1-內外科護理學-065","nurse-110-1-medical-surgical-065",110,1,65,"有關腎病症候群之照護措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"嚴重水腫時，鼓勵多下床活動，增加水分排除","當腎功能正常時，可採高蛋白、高熱量飲食","指導抗凝劑使用的注意事項，如出血徵兆","每日需監測輸入輸出量、體重及腹圍變化","A",null,[],"本題考點是腎病症候群的照護措施，選錯誤者。A不正確：嚴重水腫時應以臥床休息並抬高水腫肢體來促進靜脈回流、增進腎臟灌流與利尿，而非「鼓勵多下床活動以增加水分排除」——活動本身並不會增加水分排除，此敘述機轉不當，故A為答案。B腎功能正常時可採高蛋白、高熱量飲食以補充自尿中流失的蛋白；C腎病症候群因抗凝血酶III自尿流失而呈高凝血狀態，使用抗凝劑須注意出血徵兆；D每日監測輸入輸出量、體重及腹圍以評估水腫與體液變化，皆為正確措施。故答案A。","腎病症候群四大特徵：大量蛋白尿、低白蛋白血症、全身水腫、高血脂。水腫源於血漿膠體滲透壓下降，護理上嚴重水腫期以『臥床＋抬高患肢＋限鈉＋依醫囑利尿』促進體液回流與排出，並非靠走動。高凝血傾向來自抗凝血酶III、蛋白C／S等抗凝物質隨尿流失＋血液濃縮，易生深部靜脈栓塞與腎靜脈栓塞，故監測出血並衛教抗凝劑。飲食隨腎功能調整—腎功能正常可給足量蛋白補流失、腎功能惡化則須限蛋白。監測體重、腹圍、I\u002FO是評估水腫消長最直接的指標。A的『下床活動增加排水』屬機轉錯誤誘答。",[24,27,29,31],{"term":25,"count":26},"腎病症候群",7,{"term":28,"count":10},"嚴重水腫臥床抬高患肢",{"term":30,"count":10},"抗凝血酶III流失致高凝血",{"term":32,"count":10},"體重\u002F腹圍\u002FI O監測",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-066","有關接受經尿道前列腺切除術病人之護理指導，下列何者錯誤？",66,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-1-medical-surgical-002","有關病人已出現顱內壓升高的護理處置，下列敘述何者錯誤？",2,111,{"webId":44,"stem":45,"number":46,"year":42,"session":41},"nurse-111-2-medical-surgical-016","白老太太 76 歲，有高血壓及糖尿病，配戴假牙，下列何者不是預防齲齒的護理指導？",16,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-medical-surgical-054","葉先生為 COPD 病人，醫囑為：fenoterol（Berotec）2 puffs INHA BID，下列何者表示其使用正確？",54,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-medical-surgical-028","有關燒傷病人初期的血液檢查結果，下列何者正確？",28,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-022","王老太太背部骨骼疼痛就醫，醫生懷疑是多發性骨髓瘤，請依序回答下列3題。下列何者為確定診斷的主要標準？",22,115,"2026-09-04",1788510721405]