[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-040":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":10},"nurse-113-2-內外科護理學-040","nurse-113-2-medical-surgical-040",113,2,40,"王先生，85 歲，因排尿燒灼感、疼痛且出現膿尿、血尿至急診求治，生命徵象正常，有關其進一步之評估與檢查，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"年紀大可能前列腺肥大而出現排尿問題，需進行肛門指診檢查","需協助收集尿液常規與細菌培養，以確認病因、菌種與用藥方向","體溫正常即可排除感染，可能年紀大飲水不足而導致尿液性狀改變","尿液細菌培養若每毫升含有 10 5 個以上菌落，可確認是泌尿道感染","C",null,[],"本題考點在於老年泌尿道感染的評估陷阱與診斷依據。本題為反向題，錯誤敘述為 C：老年人感染時因免疫與體溫調節反應遲鈍，常不發燒甚至體溫偏低，故「體溫正常即可排除感染」是危險的錯誤推論，此病人已有膿尿、血尿與燒灼痛，感染證據明確，選 C。A 老年男性排尿問題須以肛門指診評估攝護腺，正確；B 收集尿液常規與細菌培養以確認菌種與抗生素方向，正確；D 尿液細菌培養每毫升菌落數達 10⁵ CFU 以上為泌尿道感染的診斷標準，正確。","老人感染表現不典型：可能只有意識混亂、食慾差、無發燒，切勿以無燒排除感染。尿液培養 ≥10⁵ CFU\u002FmL（清潔中段尿）為典型 UTI 診斷閾值；有症狀者較低菌落數也可能有意義。膿尿（pyuria）反映白血球反應，加血尿與燒灼痛，臨床圖像已指向下泌尿道感染，需就醫評估與培養導向治療。",[24,26,29,31],{"term":25,"count":10},"肛門指診",{"term":27,"count":28},"老年感染不典型表現",1,{"term":30,"count":28},"泌尿道感染診斷 105 CFU",{"term":32,"count":28},"膿尿",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-041","同時會出現在腎病症候群與急性腎絲球腎炎之臨床表徵，下列何者正確？①水腫 ②高血脂 ③蛋白尿 ④血尿",41,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-medical-surgical-037","有關高血鉀導因之敘述，下列何者正確？①使用血管收縮素轉換酶抑制劑         ②使用醛固酮拮抗劑 ③使用噻嗪類利尿劑（thiazide diuretics）   ④代謝性鹼中毒",37,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-031","有關急性支氣管炎，下列敘述何者最適當？",31,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-medical-surgical-079","有關 H1N1 新型流感之敘述，下列何者正確？",79,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-043","有關惡性貧血之敘述，下列何者錯誤？",43,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-077","2015 年修改「成人生存之鏈」，其中醫院內心臟停止的照護途徑不包括下列何者？",77,108,"2026-09-04",1788510755223]