[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-111-2-內外科護理學-061","nurse-111-2-medical-surgical-061",111,2,61,"有關腎臟結石常見的臨床症狀，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"後背腰部疼痛","頻尿、尿急","噁心、嘔吐","寒顫、發燒","B",null,[],"本題考點在於腎臟結石的典型臨床症狀，選錯誤者。頻尿、尿急是下泌尿道（如膀胱、尿道）刺激或感染的症狀，腎臟結石位於上泌尿道，典型表現為腎絞痛而非頻尿尿急，故 B 錯誤為答案。考點在於區分上、下泌尿道症狀。A 正確，結石阻塞造成腎絞痛，常為後背腰部（肋脊角）劇痛並向腹股溝放射。C 正確，劇痛可經內臟神經反射引發噁心、嘔吐。D 正確，結石合併尿路阻塞與感染時可出現寒顫、發燒，須警覺為腎盂腎炎。","腎結石痛隨結石位置移動：腎盂處為肋脊角鈍痛，輸尿管移行時劇烈絞痛並沿輸尿管放射至腹股溝、外陰。合併發燒代表阻塞性感染，屬泌尿急症。頻尿尿急要到結石落入膀胱或膀胱本身病變才明顯，故非腎結石的核心表現。",[24,26,28,31],{"term":25,"count":10},"腎結石",{"term":27,"count":10},"腎絞痛",{"term":29,"count":30},"肋脊角疼痛",1,{"term":32,"count":30},"上下泌尿道症狀",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-062","有關膀胱結石的治療與照護措施，下列何者錯誤？",62,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-112-1-medical-surgical-078","有關敗血症生理病理機轉之敘述，下列何者正確？①細菌感染引發腫瘤壞死因子活化產生微小血栓 ②微生物侵入人體造成微血管通透性增加、全身循環血量增加 ③全身代謝狀態升高造成細胞耗氧量增加，但組織血流灌注降低，產生代謝性酸中毒 ④因心臟受刺激出現血壓上升，可能引發尿量增加",78,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-medical-surgical-012","下列何者為診斷骨髓炎最準確的方法？",12,3,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-114-1-medical-surgical-010","有關食道憩室的敘述，下列何者正確？",10,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-014","有關使用耳滴劑的注意事項，下列何者正確？①使用前搖動藥水使其均勻 ②躺向健側使患耳朝上 ③滴耳藥前要先滴生理食鹽水 ④滴藥後以棉棒擦拭耳內多餘藥水",14,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-078","有關末期腎疾病（ESRD）病人，因腎性貧血接受紅血球生成素（EPO）治療之準則，下列何者錯誤？",106,"2026-09-04",1788510738805]