[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-內外科護理學-039","nurse-114-2-medical-surgical-039",114,2,39,"有關腎臟結石接受體外震波術後照護措施之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"儘量攝取開水，勿以茶、啤酒或是果汁來取代水分","術後鼓勵下床活動、多喝水並觀察尿液顏色、氣味","術後疼痛是正常，可先觀察不用止痛藥以免傷害腎臟","結石成分為尿酸，需指導避免食用內臟、香菇或海鮮","C",null,[],"本題考點在於腎結石體外震波碎石術後的居家照護。本題為反向題,錯誤敘述為 C:術後疼痛可能來自碎石排出刮傷輸尿管或殘石阻塞,應依醫囑適當使用止痛藥緩解,而非為保護腎臟而忍痛不用藥,故 C 錯誤選之。A 正確,應多攝取白開水稀釋尿液促進碎石排出,不宜以茶、啤酒或果汁替代。B 正確,鼓勵下床活動、多喝水並觀察尿液顏色氣味以早期發現血尿或感染。D 正確,尿酸結石需限制高普林食物如動物內臟、香菇、海鮮以降低尿酸。比對後唯 C 違反疼痛處置原則。","體外震波碎石(ESWL)後血尿與腎絞痛屬常見反應,水分目標約每日 2500–3000 mL 以「水沖」碎石。結石成分決定飲食:尿酸石限普林、草酸鈣石限草酸(菠菜、堅果)、鹼化或酸化尿液依成分而定。持續高燒或無尿須儘速就醫評估阻塞或感染。",[24,27,29,32],{"term":25,"count":26},"體外震波碎石術",3,{"term":28,"count":10},"尿酸結石飲食",{"term":30,"count":31},"術後疼痛處置",1,{"term":33,"count":31},"多喝水稀釋尿液",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-medical-surgical-040","有關泌尿道感染及衛教之敘述，下列何者最適當？",40,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-115-1-medical-surgical-036","有關肺栓塞造成的通氣與灌流比失衡（ventilation and perfusion mismatch）之敘述，下列何者正確？",36,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-medical-surgical-030","有關腹主動脈瘤病人的護理措施，下列何者錯誤？",30,106,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-1-medical-surgical-068","有關糖尿病性酮酸中毒病人的臨床表徵，下列何者正確？",68,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-medical-surgical-032","有關上腔靜脈症候群之敘述，下列何者錯誤？",32,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-medical-surgical-066","有關腎臟所製造荷爾蒙的生理功能，下列何者正確？",66,109,"2026-09-04",1788510759815]