[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-113-1-內外科護理學-039","nurse-113-1-medical-surgical-039",113,1,39,"有關透析治療比較之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血液透析的飲食限制，較腹膜透析嚴格","血液透析的蛋白質流失量，較腹膜透析多","血液透析發生高血脂比例，較腹膜透析高","血液透析對於心血管負荷，較腹膜透析少","A",null,[],"本題考點在於血液透析(HD)與腹膜透析(PD)的比較。依兩者特性,血液透析每週僅數次、需嚴格控制兩次透析間的水分、鉀、磷與蛋白攝取,飲食限制較腹膜透析嚴格,故A正確。B錯誤,腹膜透析經腹膜流失蛋白質較多,並非血液透析多;C錯誤,腹膜透析因透析液含葡萄糖被吸收,高血脂比例較高,並非血液透析;D錯誤,血液透析短時間內大量移除體液,對心血管負荷較大而非較少。","對比記憶:腹膜透析(連續、緩和)→蛋白流失多、葡萄糖吸收致高血脂與體重增加、腹膜炎風險、飲食較寬鬆;血液透析(間歇、快速)→血流動力波動大心血管負荷高、飲食與水分限制嚴、需血管通路(AVF)。兩者選擇依病人生活型態與共病考量。",[24,27,30,32],{"term":25,"count":26},"血液透析",6,{"term":28,"count":29},"腹膜透析",3,{"term":31,"count":10},"飲食限制",{"term":33,"count":10},"心血管負荷",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-medical-surgical-040","韓小姐的動脈血液氣體分析結果為pH 7.44、PaCO 30 mmHg、HCO - 20 mmHg、PaO 82 mmHg，根據以上數 2           3             2 值，判讀結果下列何者正確？",40,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-113-3-medical-surgical-036","朱先生為慢性阻塞性肺病（COPD）病人，使用氧氣鼻套管 2L／分鐘，主訴呼吸喘，朱太太要求護理師將氧氣流量調高。下列何者為最適當的反應？",36,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-medical-surgical-030","有關全身性紅斑性狼瘡之護理處置，下列何者不適當？",30,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-028","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心衰竭，病人出現下列那些表徵表示最可能有急性肺水腫？①心搏過緩 ②高燒 ③端坐呼吸 ④帶有泡沫的痰",28,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-072","有關尿崩症病人之照護與處置，下列何者不適當？",72,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-medical-surgical-026","60 歲的王太太是退休公務員，平日在家日常生活活動都靠家人幫忙，休息時仍感呼吸喘，晚上常因呼吸不順無法入睡，根據美國紐約心臟學會（NYHA）的心臟功能分級標準，上述情況何者正確？",26,108,"2026-09-04",1788510750540]