[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-113-3-內外科護理學-038","nurse-113-3-medical-surgical-038",113,3,38,"有關腹膜透析治療之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"透析過程易有噁心、嘔吐、低血壓不平衡症候群","持續脫水影響血壓變化波動易造成心臟負擔較大","觀察透析液為清澈無色","心臟功能不佳或腦血管疾病病人不合適選用","C",null,[],"本題考點在於腹膜透析的照護觀察重點與適應症。依腹膜透析原理，引流出的透析液正常應為清澈無色，若呈混濁常提示腹膜炎，故觀察透析液清澈為正確敘述，選 C。A 噁心、嘔吐、低血壓的不平衡症候群，與 B 血壓大幅波動、心臟負擔大，主要見於血液透析而非腹膜透析；D 腹膜透析對血流動力影響較和緩，心臟功能不佳或腦血管疾病者反而較適合選用，故敘述錯誤。","腹膜透析以腹膜為半透膜、透析液持續緩慢交換，故溶質與體液移除較平穩，血壓與心血管波動小，適合血流動力不穩或不易建立血管通路者。最主要併發症為腹膜炎，臨床以引流液由清澈轉混濁、腹痛與發燒為警訊，故觀察透析液外觀是重點照護指標。",[24,26,28,31,33],{"term":25,"count":10},"腹膜透析",{"term":27,"count":10},"腹膜炎",{"term":29,"count":30},"透析液外觀",1,{"term":32,"count":30},"血液透析不平衡症候群",{"term":34,"count":30},"血流動力穩定",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-3-medical-surgical-039","有關體外震波碎石術之敘述，下列何者錯誤？",39,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-medical-surgical-035","以脈搏血氧測量儀（pulse oximetry）所測得的數值，下列何者表示組織氧合（oxygenation）正常？",35,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-115-1-medical-surgical-029","吳太太因腫瘤接受化學治療，口腔出現疱疹性齒齦口腔炎（herpetic gingivostomatitis），下列敘述何者正確？",29,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-medical-surgical-047","有關發生急性溶血性輸血反應處置之敘述，下列何者錯誤？",47,106,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-108-1-medical-surgical-011","下列何者為食道重建術後最嚴重的合併症？",11,108,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-109-1-medical-surgical-045","一位 30 歲女性主訴最近出現皮膚對光敏感、對稱性關節疼痛、口腔潰瘍，另補體 C 3 及 C 4 減少、抗核抗體（ANA）呈現陽性、紅血球沉降速率（ESR）明顯上升、血小板減少，下列何者為其最可能之診斷？",45,109,"2026-09-04",1788510752806]