[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-112-1-內外科護理學-066","nurse-112-1-medical-surgical-066",112,1,66,"吳先生，85 歲，因全身水腫，呼吸喘至急診求治，診斷為急性腎衰竭，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"腎臟超音波檢查結果雙側腎臟大小有變小","測量 24 小時尿量約 350 c.c.，此為少尿型腎衰竭","出現高血鉀且心電圖出現 T 波低而寬","可能因為前列腺肥大導致腎性急性腎衰竭","B",null,[],"本題考點在於急性腎衰竭的臨床判讀。正確為 B：少尿型腎衰竭定義為 24 小時尿量少於 400 c.c.，題中約 350 c.c. 落在此範圍，故屬少尿型，選 B。A 錯誤，急性腎衰竭腎臟因水腫發炎多呈正常或腫大，慢性腎病才會腎臟萎縮變小；C 錯誤，高血鉀在心電圖呈現高聳而尖的 T 波，而非低而寬；D 錯誤，攝護腺肥大造成的是下泌尿道阻塞、屬腎後性（post-renal）急性腎衰竭，而非腎性（intrinsic），分類敘述錯誤。","急性腎衰竭依部位分三型：腎前性（灌流不足，如脫水、心衰）、腎性（腎實質受損，如急性腎小管壞死）、腎後性（阻塞，如攝護腺肥大、結石）。少尿定義\u003C400 mL\u002F日、無尿\u003C100 mL\u002F日。高血鉀 ECG 演變：T 波高尖→P 波變平→QRS 增寬→正弦波。急性期腎多腫大、慢性期萎縮是超音波鑑別要點。可連結少尿期與利尿期的液體與電解質管理差異。",[24,27,29,31,33],{"term":25,"count":26},"急性腎衰竭",8,{"term":28,"count":10},"少尿定義 400ml",{"term":30,"count":10},"高血鉀 T 波高尖",{"term":32,"count":10},"攝護腺肥大屬腎後性",{"term":34,"count":10},"急性期腎腫大",[36,40,44,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-067","有關造成糖尿病病人血糖過低之促因，下列何者正確？",67,{"webId":41,"stem":42,"number":43,"year":9,"session":43},"nurse-112-3-medical-surgical-003","額葉腦瘤病人，最可能出現下列何項臨床表徵？",3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-medical-surgical-047","有關休克病人體溫下降之護理措施，下列何者正確？",47,113,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-114-2-medical-surgical-045","有關糖尿病足部之身體評估可能結果，下列何者錯誤？",45,114,2,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-049","有關全身性紅斑性狼瘡女性病人，於類固醇藥物治療後症狀緩解已 1 年之護理指導，下列何者錯誤？",49,106,{"webId":61,"stem":62,"number":43,"year":63,"session":54},"nurse-107-2-medical-surgical-003","鍾先生自工地 10 公尺高處落下，造成 C3～C5 完全性脊髓損傷，經 119 送達急診，下列敘述何者錯誤？",107,"2026-09-04",1788510742285]