[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-039":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":25},"nurse-112-3-內外科護理學-039","nurse-112-3-medical-surgical-039",112,3,39,"慢性腎臟病第四期病人解血尿懷疑是腎臟結石，下列診斷檢查何者最適當？",{"A":14,"B":15,"C":16,"D":17},"腹部超音波","腎動脈攝影","逆行性腎盂攝影","膀胱鏡檢查","C",null,[],"本題考點在於慢性腎臟病病人懷疑腎結石時的診斷檢查選擇。慢性腎臟病第四期腎功能已明顯下降,靜脈注射含碘顯影劑有腎毒性風險,故C逆行性腎盂攝影經輸尿管逆行注入顯影劑、不需經腎絲球過濾與排泄,對腎臟負擔較小且能顯示上尿路結石,較適當。B腎動脈攝影用於評估血管而非結石。D膀胱鏡主要看下泌尿道。A腹部超音波雖無腎毒性,但本題以逆行性攝影為答案,推測考點在避免顯影劑腎毒性下仍取得清晰上尿路影像。","腎功能不佳者行含碘顯影劑檢查(如靜脈腎盂攝影IVP、顯影劑電腦斷層)有引發顯影劑腎病變之虞,故臨床傾向不需經腎排泄的檢查。逆行性腎盂攝影經膀胱鏡置管逆行灌注顯影劑,可清楚顯示輸尿管與腎盂病灶,適用於腎功能受損或上尿路阻塞評估。",[24,26,29,31],{"term":16,"count":25},2,{"term":27,"count":28},"慢性腎臟病",1,{"term":30,"count":28},"顯影劑腎毒性",{"term":32,"count":28},"腎結石診斷",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-040","有關腎臟功能血液檢查，下列敘述何者正確？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":25},"nurse-113-2-medical-surgical-036","有關急性呼吸窘迫症候群（ARDS）病人使用機械性通氣時，配合使用呼氣末端正壓（PEEP）之目的，下列何者錯誤？",36,113,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-114-1-medical-surgical-030","有關後天免疫缺乏症候群（AIDS）臨床表徵之敘述，下列何者錯誤？",30,114,{"webId":49,"stem":50,"number":51,"year":52,"session":25},"nurse-115-2-medical-surgical-028","下列何項檢驗項目與傳染性疾病較無關？",28,115,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-107-1-medical-surgical-022","有關使用音叉評估聽力喪失之敘述，下列何者錯誤？",22,107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-1-medical-surgical-056","有關呼吸性酸中毒之敘述，下列何者正確？",56,108,"2026-09-04",1788510745123]