[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-111-1-內外科護理學-061","nurse-111-1-medical-surgical-061",111,1,61,"林小姐食慾不振，嚴重水腫，無法平躺睡覺，至某醫學中心就診，抽血檢查結果血清 Creatinine=13.8 mg\u002FdL，eGFR=9.2 mL\u002Fmin\u002F1.73 m 2 ，依此結果，林小姐是處於慢性腎臟病（CKD）的第幾期？",{"A":14,"B":15,"C":16,"D":17},"第二期","第三期","第四期","第五期","D",null,[],"本題考點為依 eGFR 判定慢性腎臟病（CKD）分期。CKD 分期以估算腎絲球過濾率（eGFR）為準：第一期≥90、第二期 60–89、第三期 30–59、第四期 15–29、第五期\u003C15 mL\u002Fmin\u002F1.73m²。林小姐 eGFR 為 9.2，低於 15，屬第五期（末期腎病），故選 D。其血清 Creatinine 高達 13.8 mg\u002FdL 與嚴重水腫、無法平躺亦支持腎功能極度衰竭。A第二期、B第三期、C第四期對應的 eGFR 區間皆高於此值，故排除。判斷依據為 eGFR\u003C15 即第五期的分期切點。","CKD 分期口訣可記「90–60–30–15」四個切點對應 1 至 5 期上界。eGFR\u003C15 為末期腎病（ESRD），常需腎臟替代療法。此病人合併尿毒相關體液過多（嚴重水腫、端坐呼吸）與極高肌酸酐，臨床圖像一致。分期同時參考白蛋白尿分級以評估風險。記憶：第五期＝eGFR\u003C15＝末期，多需透析或移植，銜接下一題的處置目標。",[24,27,30,32],{"term":25,"count":26},"慢性腎臟病分期",3,{"term":28,"count":29},"第五期末期腎病",2,{"term":31,"count":29},"血清肌酸酐",{"term":33,"count":10},"eGFR 切點",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-062","承上題，下列何項為林小姐接下來的重要處理目標？",62,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-medical-surgical-078","有關矯正休克病人低血壓的護理措施，下列何者錯誤？",78,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-112-2-medical-surgical-012","有關潰瘍性結腸炎（ulcerative colitis）的敘述，下列何者正確？①易侵犯全腸壁 ②易造成肛門瘻管 ③易有裡急後重感 ④糞便中經常帶血",12,112,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-113-2-medical-surgical-030","有關類風溼性關節炎醫療處置之敘述，下列何者錯誤？",30,113,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-3-medical-surgical-034","有關心肌梗塞急性期處置，下列敘述何者最適當？",34,114,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-1-medical-surgical-078","有關大量傷患事故檢傷分類 START（Simple Triage and Rapid Treatment）之敘述，下列何者錯誤？",106,"2026-09-04",1788510734747]