[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-2-內外科護理學-061","nurse-112-2-medical-surgical-061",112,2,61,"有關慢性腎絲球腎炎之敘述，下列何者正確？①肌酸酐清除率（CCr.）數值異常上升 ②血尿素氮及血肌酸酐的數值會異常升高 ③可由經皮腎臟組織切片檢查早期確診 ④腎皮質變厚及腎臟變大",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","C",null,[],"本題考點為慢性腎絲球腎炎（chronic glomerulonephritis）的檢驗與診斷特徵，正解為 C（②③）。②正確，腎功能持續受損使血尿素氮（BUN）與血肌酸酐（Cr）異常升高；③正確，經皮腎臟組織切片可確認腎絲球病理變化以早期確診。①錯誤，腎功能惡化時肌酸酐清除率（CCr）應『下降』而非異常上升；④錯誤，慢性腎病變晚期腎臟因纖維化萎縮，腎皮質『變薄、腎臟縮小』而非變厚變大，故含①或④的選項（A、B、D）皆不成立，選 C。","腎功能評估的核心指標須辨清方向：腎絲球過濾率（GFR）與肌酸酐清除率（CCr）隨腎功能惡化而『下降』，血中 BUN 與 Cr 則『上升』（兩者反向）。慢性腎病末期典型影像是雙腎萎縮、皮質變薄、實質回音增強，反映不可逆纖維化；相對地急性腎炎或糖尿病腎病早期腎臟可能腫大。腎切片是釐清腎絲球病理型態、指導治療的確診工具。記憶『慢性腎衰：CCr 降、BUN\u002FCr 升、腎縮皮質薄』，可快速排除方向相反的敘述。",[24,26,29,31],{"term":25,"count":10},"慢性腎絲球腎炎",{"term":27,"count":28},"肌酸酐清除率下降",1,{"term":30,"count":28},"BUN與血肌酸酐升高",{"term":32,"count":28},"腎臟萎縮皮質變薄",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-062","有關腎病症候群之臨床表徵，下列何者正確？①高白蛋白血症 ②出現蛋白尿 ③高血脂症 ④血中膠體滲透壓上升",62,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-medical-surgical-028","有關氣爆引發四度熱燒傷的健康問題，下列何者較不常發生？",28,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-022","一位正在接受胸壁放射治療的復發性乳癌病人表示：「吞嚥時感到疼痛，胸口有灼熱及緊繃感」。下列何者是病人因放射線治療導致最可能的結果？",22,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-medical-surgical-020","下列何者為右心衰竭的臨床表徵？",20,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-044","有關疥瘡病人照護方式之敘述，下列何者錯誤？",44,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-medical-surgical-078","有關敗血症治療之敘述，下列何者錯誤？",78,107,"2026-09-04",1788510747816]