[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-062":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-111-2-內外科護理學-062","nurse-111-2-medical-surgical-062",111,2,62,"有關膀胱結石的治療與照護措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"建議使用體外震波碎石術治療，較不具侵入性","結石成分為尿酸時，指導避免食用內臟、香菇等","預防感染通常會先用廣效性抗生素","術後鼓勵多喝水並監測輸出入量與尿液顏色、氣味等","A",null,[],"本題考點在於膀胱結石的治療與照護，選錯誤者。體外震波碎石術（ESWL）主要適用於腎與上段輸尿管結石，膀胱結石較常以經尿道膀胱鏡碎石取石處理，故 A 敘述將 ESWL 列為膀胱結石首選並不恰當，為錯誤答案。考點在於不同部位結石的治療選擇。B 正確，尿酸結石與高普林代謝有關，應限制內臟、香菇等高普林食物。C 正確，術前或合併感染時使用廣效性抗生素預防或控制感染。D 正確，術後鼓勵多喝水沖洗尿路並監測輸出入量、尿液顏色與氣味以早期發現出血或感染。","結石治療依部位與大小：腎\u002F上輸尿管小結石用 ESWL，膀胱結石多用經尿道膀胱鏡碎石。尿酸結石可鹼化尿液（如檸檬酸鉀）並限普林；草酸鈣結石限草酸並維持水分。共同衛教核心是充足水分維持尿量以稀釋與沖刷結晶。",[24,27,29,31],{"term":25,"count":26},"體外震波碎石術",3,{"term":28,"count":10},"膀胱結石",{"term":30,"count":10},"尿酸結石飲食",{"term":32,"count":33},"術後水分",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-063","有關前列腺肥大與前列腺癌的敘述，下列何者錯誤？",63,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-112-1-medical-surgical-079","下列何者不需採取腸道隔離？",79,112,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-112-3-medical-surgical-013","病人因骨腫瘤接受右腳膝上截肢的照護措施，下列何者最適當？",13,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-114-1-medical-surgical-011","有關痛風性關節炎護理指導之敘述，下列何者正確？",11,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-015","有關喉癌病人行全喉切除術後之敘述，下列何者正確？",15,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-medical-surgical-079","楊先生 50 歲，患有高血壓超過 10 年，目前被診斷有慢性腎疾病，為減緩腎功能衰退，應指導其血壓控制在下列何種範圍？",106,"2026-09-04",1788510738810]