[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":25},"nurse-111-1-內外科護理學-067","nurse-111-1-medical-surgical-067",111,1,67,"有關慢性腎衰竭的典型臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"氮血症","高血脂","低血磷","代謝性酸中毒","C",null,[],"本題考點在於慢性腎衰竭的典型血液電解質變化。依腎臟排磷功能:腎絲球過濾率下降時,磷無法有效排出而滯留,故慢性腎衰竭應呈現「高血磷」而非低血磷,C 敘述錯誤,為本題答案。高血磷又會使血鈣下降、刺激副甲狀腺,形成腎性骨病變。A 氮血症(azotemia)因尿素氮與肌酸酐排除障礙而堆積,正確。B 高血脂與尿毒引起的脂質代謝異常有關,常見,正確。D 腎臟排酸與再生重碳酸鹽功能受損,導致代謝性酸中毒,正確。","慢性腎衰竭電解質記憶:三高一低——高鉀、高磷、高氮(BUN\u002FCr),低鈣(續發高血磷與活性維生素 D 不足)。磷與鈣呈反比關係,高血磷→低血鈣→次發性副甲狀腺亢進→腎性骨病變,是慢性腎病照護的重要連鎖。飲食上須限磷、限鉀、限鈉並補充活性維生素 D 與磷結合劑。",[24,26,29,31,32],{"term":17,"count":25},22,{"term":27,"count":28},"高血磷",2,{"term":30,"count":10},"慢性腎衰竭",{"term":14,"count":10},{"term":33,"count":10},"鈣磷平衡",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-068","有關經尿道前列腺切除術的敘述，下列何者錯誤？",68,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-1-medical-surgical-004","有關腦腫瘤病人術後發生尿崩症，下列敘述何者正確？",4,112,{"webId":45,"stem":46,"number":47,"year":43,"session":28},"nurse-112-2-medical-surgical-018","右小腿上石膏病人，出現下列何項臨床表徵，需要立即給予處理？",18,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-2-medical-surgical-036","有關急性呼吸窘迫症候群（ARDS）病人使用機械性通氣時，配合使用呼氣末端正壓（PEEP）之目的，下列何者錯誤？",36,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-medical-surgical-040","有關高血鈣及其照護，下列敘述何者最適當？",40,114,3,{"webId":60,"stem":61,"number":42,"year":62,"session":28},"nurse-106-2-medical-surgical-004","有關出血性腦中風病人的護理措施，下列何者正確？",106,"2026-09-04",1788510734804]