[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-114-1-內外科護理學-040","nurse-114-1-medical-surgical-040",114,1,40,"有關腎臟功能檢測血清肌酸酐（creatinine）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"易受飲食影響可用以估算排泄能力","是用來估算腎臟功能最佳指標","升高時代表腎功能已損傷50%以上","升高時代表腎絲球過濾率功能已降低","A",null,[],"本題考點在於血清肌酸酐作為腎功能指標的特性，屬反向題，須挑出錯誤敘述。依生理原理，肌酸酐為肌肉代謝的相對恆定產物、由腎絲球濾過排出且不易受單次飲食影響，故是評估腎功能的良好內源性指標，其升高代表腎絲球過濾率下降、腎功能受損（通常已損失約50%以上），B、C、D皆正確。A說肌酸酐「易受飲食影響」則錯誤，易受飲食（尤其蛋白質攝取）左右的是血中尿素氮（BUN），故A為本題答案。","評估腎功能常並用BUN與creatinine：creatinine生成穩定、較不受飲食與水分狀態干擾，故單獨升高更能反映腎功能；BUN則受蛋白攝取、脫水、消化道出血等影響，故BUN\u002Fcreatinine比值可協助鑑別腎前性與腎性病因。因creatinine與腎絲球過濾率呈非線性關係，早期腎損傷未必立即上升，臨床更倚重估算的腎絲球過濾率（eGFR）。",[24,27,30,33],{"term":25,"count":26},"腎絲球過濾率",5,{"term":28,"count":29},"腎功能指標",3,{"term":31,"count":32},"血清肌酸酐",2,{"term":34,"count":32},"血中尿素氮",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-041","有關預防泌尿道感染復發的護理指導，下列何者錯誤？",41,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-114-3-medical-surgical-037","有關低血容性休克分期的進行期，下列敘述何者最不適當？",37,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-115-2-medical-surgical-031","下列何者不是愛滋病人服用高效能抗反轉錄病毒治療（俗稱雞尾酒療法）之副作用？",31,115,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-medical-surgical-019","有關全膝關節置換術後的護理指導，下列敘述何者錯誤？",19,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-063","有關病人因焦慮而過度通氣造成之酸鹼不平衡，下列何者正確？",63,108,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-109-2-medical-surgical-017","有關刺激胃液分泌的因素，下列何者正確？",17,109,"2026-09-04",1788510757533]