[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-113-1-內外科護理學-037","nurse-113-1-medical-surgical-037",113,1,37,"有關腎臟移植過程之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病人術前需再進行血液透析移除體液與毒素","交叉試驗陰性才可以進行腎臟移植","移植腎多是植入於下腹部腔膜外的腸骨窩處","必須先移除原來腎臟再將新的腎臟做尿道接合","D",null,[],"本題考點在於腎臟移植的手術與照護,屬反向題,須找出錯誤者。腎臟移植時,病人原有的腎臟通常保留原位不移除,移植腎另植入下腹部腸骨窩,且接合的是輸尿管與膀胱(輸尿管膀胱吻合)而非尿道,故D敘述錯誤(既錯在必須先移除原腎、也錯在尿道接合)。A正確,術前常需透析以改善尿毒與體液狀態;B正確,交叉試驗陰性才可移植以降低排斥;C正確,移植腎多置於腹膜外的腸骨窩。","移植腎放腸骨窩(iliac fossa)腹膜外,便於接合髂血管與膀胱、且方便日後觸診與切片。原腎多保留,除非有嚴重感染、頑固高血壓或多囊腎過大才切除。輸尿管與膀胱吻合(ureteroneocystostomy)是標準術式。術後照護重點在排斥徵象與免疫抑制劑監測。",[24,26,28,30],{"term":25,"count":10},"腎臟移植",{"term":27,"count":10},"腸骨窩",{"term":29,"count":10},"輸尿管膀胱吻合",{"term":31,"count":10},"交叉試驗",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-038","下列那些檢查前需要確認病人腎功能？①腎動脈攝影術 ②腎臟、輸尿管、膀胱X光檢查 ③腎臟超音波 ④逆行性腎盂攝影術 ⑤靜脈注射腎盂攝影術",38,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-034","有關胸腔穿刺放液術檢查前之護理措施，下列何者最適當？",34,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-medical-surgical-028","有關疥瘡的敘述，下列何者錯誤？",28,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-026","有關心因性休克造成之血流動力學變化，下列何者正確？",26,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-070","有關代謝性酸中毒造成之原因，下列何者錯誤？",70,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-medical-surgical-024","有關急性心肌梗塞病人採限鈉飲食之敘述，下列何者正確？",24,108,"2026-09-04",1788510750529]