[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-110-2-內外科護理學-061","nurse-110-2-medical-surgical-061",110,2,61,"有關急性腎絲球腎炎的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是抗原抗體反應造成的免疫性疾病","會出現蛋白尿、血尿","補體（C 3 與 C 4 ）值會上升","腎絲球過濾率（GFR）會下降","C",null,[],"本題考點在急性腎絲球腎炎的病理與檢驗變化。此病常見於鏈球菌感染後,屬第三型免疫複合體沉積於腎絲球基底膜引發發炎,活化補體替代途徑而大量消耗補體,故血中補體以C3明顯下降為特徵(C4多為正常或僅輕度下降),整體並不會上升;選項C稱C3、C4值會上升,方向與病生理相反,為錯誤敘述即本題答案。它確為抗原抗體反應造成的免疫性疾病,選項A正確;基底膜受損通透性增加而出現蛋白尿、血尿,選項B正確;發炎使腎絲球過濾率下降、可致少尿與水腫,選項D亦正確。","鏈球菌感染後腎絲球腎炎(PSGN)機轉:A群β溶血性鏈球菌感染後1至3週,免疫複合體沉積於腎絲球活化補體替代途徑引發發炎,故以C3明顯下降為特徵性檢驗(C4多為正常),約6至8週回升。典型表現:血尿(可樂色尿)、蛋白尿、水腫(晨起眼瞼)、高血壓與少尿。記憶:補體被消耗故下降。可連結ASO titer上升佐證前驅鏈球菌感染,並與腎病症候群(大量蛋白尿、低白蛋白、水腫、高血脂)鑑別。",[24,27,29,32,34],{"term":25,"count":26},"急性腎絲球腎炎",5,{"term":28,"count":10},"補體C3下降",{"term":30,"count":31},"免疫複合體",1,{"term":33,"count":31},"第三型過敏",{"term":35,"count":31},"蛋白尿血尿",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-medical-surgical-062","有關膀胱癌進行尿路改道手術後之照護，下列何者正確？",62,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-111-1-medical-surgical-078","有關敗血症之敘述，下列何者錯誤？",78,111,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-112-1-medical-surgical-012","有關肝活體組織切片檢查，下列敘述何者正確？",12,112,{"webId":52,"stem":53,"number":54,"year":50,"session":55},"nurse-112-3-medical-surgical-050","根據 2020 年美國心臟醫學會（AHA）公告的「生存之鏈（chain of survival）」急救步驟，發生於醫院內心臟停止的照護（in hospital cardiac arrest, IHCA），其急救重點次序，下列何者正確？①即早辨識和預防 ②緊急應變系統啟動 ③施行高品質 CPR ④去顫 ⑤心臟停止後照護 ⑥復原",50,3,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-114-2-medical-surgical-004","有關癲癇藥物處置的敘述，下列何者正確？",4,114,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-115-2-medical-surgical-048","有關中毒症狀與處置之敘述，下列何者正確？",48,115,"2026-09-04",1788510729375]