[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"產兒科護理學","maternal-pediatric",{"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":10},"nurse-111-2-產兒科護理學-064","nurse-111-2-maternal-pediatric-064",111,2,64,"小真，6 個月大，體重 7 公斤，剛接受完開心手術入住心臟外科加護病房，有關腎臟衰竭之臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"1 小時內尿量排出 0.5～2 mL\u002Fkg\u002Fhr","意識不清或昏睡","高血鉀出現心悸現象","血中尿素氮和血清肌酸酐降低","D",null,[],"本題考點在辨識急性腎衰竭的臨床表徵。腎臟衰竭時腎絲球過濾率下降、代謝廢物無法排出，故血中尿素氮(BUN)與血清肌酸酐(Cr)會「上升」而非下降，D 敘述方向相反，為錯誤選項。A 描述尿量 0.5～2 mL\u002Fkg\u002Fhr 屬嬰幼兒尚可接受的排尿範圍，可用來監測腎功能是否惡化，敘述正確；B 因尿毒素堆積影響中樞神經，出現意識不清、昏睡屬典型尿毒腦病表現，正確；C 腎衰竭排鉀能力下降造成高血鉀，鉀離子影響心肌電位而出現心悸、心律不整，正確。考點在於掌握腎衰竭「廢物與鉀滯留、BUN\u002FCr 升高」的核心病生理，故錯誤敘述為 D。","腎衰竭三大實驗室指標記法：BUN↑、Cr↑、K⁺↑，三者皆因排除功能喪失而「上升」。高血鉀最致命，心電圖上先見 T 波高尖，續而 QRS 增寬，可惡化為心室顫動。尿量分級可搭配少尿(\u003C0.5 mL\u002Fkg\u002Fhr)定義複習，與寡尿性腎衰竭連結。",[24,26,29,31],{"term":25,"count":10},"高血鉀",{"term":27,"count":28},"急性腎衰竭",1,{"term":30,"count":28},"血中尿素氮",{"term":32,"count":28},"血清肌酸酐",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-065","有關早產兒開放性動脈導管的醫療處置，下列敘述何者錯誤？",65,{"webId":39,"stem":40,"number":28,"year":41,"session":10},"nurse-112-2-maternal-pediatric-001","有關嬰兒死亡率之敘述，下列何者正確？",112,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-3-maternal-pediatric-015","有關產後情緒變化之敘述，下列何者正確？①產後沮喪婦女可自行復原 ②產後精神病婦女會出現幻聽、幻覺而傷害新生兒 ③重度產後憂鬱婦女具有自殺危險性 ④產後精神病常出現於產後 2 個月之後",15,3,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-114-1-maternal-pediatric-013","林女士，G 1P 1，剖腹生產後一週，主訴全身發熱不舒服，身體檢查沒有明顯身體其他部位疼痛情況。若是此發熱不適與子宮復舊有關，下列何者為最可能的子宮復舊評估結果？",13,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-115-2-maternal-pediatric-017","有關新生兒的生殖系統，下列何者正確？",17,115,{"webId":58,"stem":59,"number":28,"year":60,"session":28},"nurse-107-1-maternal-pediatric-001","有關我國婦嬰生命統計之概況，下列何者正確？",107,"2026-09-04",1788510739572]