[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-039":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":26},"nurse-114-1-內外科護理學-039","nurse-114-1-medical-surgical-039",114,1,39,"陳先生，88歲，因全身水腫，呼吸喘至急診求治，診斷為急性腎衰竭，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"血鉀7.5 mg\u002FdL，心電圖T波低而寬長","可能因前列腺肥大，導致腎性急性腎衰竭","24小時尿量約300 c.c.，正處於腎衰竭少尿期","腎臟超音波檢查，顯示雙側腎臟大小為7.5 cm","C",null,[],"本題考點在於急性腎衰竭的臨床判讀。依急性腎衰竭少尿期的定義，24小時尿量少於400毫升即屬少尿，題中約300毫升正落於少尿期，C正確為答案。A血鉀7.5屬高血鉀，心電圖典型為T波高尖而非低寬；B攝護腺肥大造成的是尿路阻塞屬腎後性腎衰竭，而非腎性；D急性腎衰竭時腎臟因水腫多呈正常或偏大，雙側縮小至7.5公分反映的是慢性腎病的萎縮，故A、B、D皆錯誤。","急性腎衰竭依病因分腎前性（灌流不足）、腎性（實質損傷）、腎後性（阻塞），攝護腺肥大屬典型腎後性。病程歷經少尿期、利尿期與恢復期，少尿期須嚴防高血鉀與體液過量。影像上急性者腎臟大小正常或腫大、慢性者則萎縮且皮質變薄，是鑑別急慢性的重要線索。高血鉀心電圖記憶：T波「又高又尖」像帳篷。",[24,27,29,31,33],{"term":25,"count":26},"急性腎衰竭",8,{"term":28,"count":10},"少尿期尿量標準",{"term":30,"count":10},"腎後性阻塞",{"term":32,"count":10},"高血鉀心電圖",{"term":34,"count":10},"腎臟影像大小",[36,40,45,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-040","有關腎臟功能檢測血清肌酸酐（creatinine）之敘述，下列何者錯誤？",40,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-114-3-medical-surgical-036","有關肺栓塞病人使用 Warfarin（Coumadin ® ）治療期間之護理指導，下列敘述何者最不適當？",36,3,{"webId":46,"stem":47,"number":48,"year":49,"session":50},"nurse-115-2-medical-surgical-030","異位性皮膚炎病人血液中會出現下列何種免疫球蛋白升高？",30,115,2,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-1-medical-surgical-018","有關下肢截肢手術後的護理措施，下列何者錯誤？",18,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-1-medical-surgical-062","有關病人血清鉀為 7.0 mEq\u002FL 之處置，下列何者錯誤？",62,108,{"webId":62,"stem":63,"number":64,"year":65,"session":50},"nurse-109-2-medical-surgical-016","病人主訴「餓的時候疼痛，常常半夜痛醒」，下列何者為其最大可能之診斷？",16,109,"2026-09-04",1788510757529]