[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-112-2-內外科護理學-064","nurse-112-2-medical-surgical-064",112,2,64,"下列何者會出現間歇性無痛血尿之症狀？①尿道炎 ②輸尿管結石 ③膀胱癌 ④腎臟癌",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","D",null,[],"本題考點在辨識「間歇性無痛血尿」的典型病因。依泌尿系統疾病的症狀特徵，無痛且間歇出現的血尿是泌尿道惡性腫瘤的警訊，因腫瘤侵蝕血管造成出血、但初期不刺激痛覺神經，故③膀胱癌、④腎臟癌會出現此症狀，選 D。①尿道炎屬感染，會伴隨排尿灼熱、頻尿與疼痛，血尿多合併尿痛而非無痛。②輸尿管結石因結石刮傷黏膜並阻塞管腔，典型表現是劇烈腎絞痛合併血尿，屬「有痛」血尿。因此僅③④符合間歇性無痛血尿。","無痛血尿(painless hematuria)是泌尿道惡性腫瘤的紅旗症狀，臨床口訣「無痛血尿要想到癌」。膀胱癌最常見表現即間歇性、全程無痛肉眼血尿，好發於吸菸與染料暴露者；腎細胞癌經典三聯徵為血尿、腰痛、腹部腫塊，但三者同時出現者少。對比記憶:感染(尿道炎)=痛+菌尿膿尿;結石=絞痛+血尿;腫瘤=無痛+血尿。故遇無痛血尿應循膀胱鏡與影像追查腫瘤，可連結泌尿道腫瘤分期與危險因子複習。",[24,27,30,32,35],{"term":25,"count":26},"膀胱癌",7,{"term":28,"count":29},"腎細胞癌",4,{"term":31,"count":10},"腎絞痛",{"term":33,"count":34},"無痛血尿",1,{"term":36,"count":34},"泌尿道腫瘤警訊",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-2-medical-surgical-065","有關腎臟移植之合併症，下列敘述何者不適當？",65,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-113-1-medical-surgical-031","有關全身性紅斑性狼瘡（SLE）臨床表徵之敘述，下列何者錯誤？",31,113,{"webId":48,"stem":49,"number":50,"year":46,"session":51},"nurse-113-3-medical-surgical-025","有關腔隙症候群（compartment syndrome）的臨床表徵，下列何者正確？①患肢有緊縮感 ②患肢脈搏減弱 ③止痛藥物能緩解疼痛 ④患肢比健肢冰冷",25,3,{"webId":53,"stem":54,"number":55,"year":56,"session":34},"nurse-115-1-medical-surgical-023","王老太太因便秘、意識不清，家屬送至急診求治，發現有心律不整的問題，下列何者是王老太太最有可能發生的問題？",23,115,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-106-2-medical-surgical-047","有關發生急性溶血性輸血反應處置之敘述，下列何者錯誤？",47,106,{"webId":63,"stem":64,"number":34,"year":65,"session":34},"nurse-108-1-medical-surgical-001","有關測量病人昏迷量表（Glasgow Coma Scale, GCS）之敘述，下列何者錯誤？",108,"2026-09-04",1788510747843]