[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-1-內外科護理學-066","nurse-111-1-medical-surgical-066",111,1,66,"有關腎臟活體組織切片檢查之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"透過超音波導引取出組織切片，以確認腎實質疾病之病因","通常穿刺時採俯臥姿，部位大約於第 12 肋骨與脊椎交角中間","檢查前需確認凝血功能，以及暫停使用含 Aspirin 成分之藥物","檢查後 24 小時內應臥床休息，避免下床活動","B",null,[],"本題考點在於腎臟活體組織切片檢查的正確定位與照護。依腎臟解剖位置,穿刺定位以病人俯臥、於「第 12 肋骨下緣與脊椎旁」取樣,對應腎下極位置以避開大血管,而 B 選項寫「第 12 肋骨與脊椎交角中間」定位描述不正確,為本題答案。A 藉超音波導引取組織確認腎實質病因,正確。C 檢查涉及穿刺出血風險,術前須確認凝血功能並停用含 Aspirin 的抗血小板藥,正確。D 檢查後 24 小時內臥床休息、避免下床活動可減少穿刺處出血,正確(選項末尾「代號:3104 頁次:6－6」為試卷頁碼雜訊,非題意內容)。","腎切片最主要併發症是出血(血尿、腎周圍血腫),因此術前凝血功能與停用抗血小板\u002F抗凝血藥是重點,術後平躺加壓、觀察血尿與血壓變化是護理核心。俯臥並在腹下墊枕可將腎臟往後頂近體表,利於穿刺。此題定位細節屬冷門,但可把握「出血是最大風險」這條主軸判斷其餘選項皆合理。",[24,27,29,31,33],{"term":25,"count":26},"腎臟切片",2,{"term":28,"count":26},"穿刺定位",{"term":30,"count":26},"凝血功能",{"term":32,"count":26},"術後出血",{"term":34,"count":10},"Aspirin 停藥",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-medical-surgical-067","有關慢性腎衰竭的典型臨床表徵，下列何者錯誤？",67,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-medical-surgical-003","有關多發性硬化症病人的自我照顧之護理指導，下列敘述何者錯誤？",3,112,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-112-2-medical-surgical-017","有關骨質疏鬆症護理指導之敘述，下列何者錯誤？",17,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-113-2-medical-surgical-035","下列何者不是肺氣腫病人的身體評估結果？",35,113,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-114-3-medical-surgical-039","有關急性腎盂腎炎之照護，下列敘述何者最適當？①紅血球沉降速率（ESR）數值會升高 ②症狀為無尿及貧血 ③鼓勵病人多攝取酸灰性食物如乾梅或蔓越莓 ④鼓勵病人每 4 小時排尿一次",39,114,{"webId":60,"stem":61,"number":43,"year":62,"session":26},"nurse-106-2-medical-surgical-003","有關脊髓損傷導致自主神經反射過度之敘述，下列何者正確？",106,"2026-09-04",1788510734783]