[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-038":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-038","nurse-113-1-medical-surgical-038",113,1,38,"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",{"A":14,"B":15,"C":16,"D":17},"①②","①⑤","②③","④⑤","B",null,[],"本題考點在於需先確認腎功能的泌尿系統檢查,正解為B(①⑤)。腎動脈攝影術(①)與靜脈注射腎盂攝影術(IVP,⑤)都需注射含碘顯影劑,顯影劑具腎毒性,故檢查前須確認腎功能(如BUN、Cr)以防對比劑腎病變。②KUB(X光平片)與③腎臟超音波皆不使用顯影劑,無腎毒性顧慮;④逆行性腎盂攝影是經膀胱鏡逆行注入顯影劑,顯影劑主要停留於集尿系統、極少經腎絲球吸收,腎毒性風險低,故不列為必須先確認腎功能者。","對比劑腎病變(CIN)是靜脈注射碘對比劑後急性腎損傷,危險群為既有腎功能不全、糖尿病、脫水者;預防靠水化與評估eGFR。記憶:凡「靜脈打顯影劑」的影像檢查(IVP、CT顯影、血管攝影)皆須先看腎功能;不打顯影劑或逆行給予者風險低。",[24,26,28,30],{"term":25,"count":10},"含碘顯影劑腎毒性",{"term":27,"count":10},"腎動脈攝影",{"term":29,"count":10},"靜脈腎盂攝影 IVP",{"term":31,"count":10},"對比劑腎病變",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-039","有關透析治療比較之敘述，下列何者正確？",39,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-035","有關肺結核病人的出院護理指導，下列何者正確？",35,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-medical-surgical-029","有關第一型單純疱疹之敘述，下列何者正確？①容易再度復發 ②感染痊癒後會潛伏於神經根節 ③由水痘病毒感染後所引起的 ④多感染於會陰部",29,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-027","有關病人接受經皮穿腔冠狀動脈血管成形術（PTCA）處置之敘述，下列何者錯誤？",27,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-071","有關嗜鉻細胞瘤典型之 5P 症狀，不包括下列何者？",71,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-medical-surgical-025","有關冠狀動脈疾病治療藥物之敘述，下列何者正確？",25,108,"2026-09-04",1788510750533]