[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-114-3-內外科護理學-038","nurse-114-3-medical-surgical-038",114,3,38,"有關活體腎臟移植捐贈者，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"兩側腎臟功能皆正常，常規尿液檢查正常","患糖尿病 15 年，糖化血色素平均為 8.0%","年齡 20 歲以上的五親等內親屬，例如兄弟姊妹","動機純正自願捐出腎臟，且同意移植手術","B",null,[],"本題考點在於活體腎臟捐贈者的合適條件。本題為反向題,要選最不適當者。不適合者為B:糖尿病病史達15年且糖化血色素(HbA1c)平均8.0%顯示長期血糖控制不佳,糖尿病本身即為糖尿病腎病變的高危因子,捐腎後僅剩單顆腎臟更易受損,故不宜作為捐贈者。A適當,捐贈者兩側腎臟功能與尿液檢查須正常以確保餘腎足以維持功能;C適當,活體捐贈依規範多限成年(20歲以上)且具一定親屬關係(如五親等內);D適當,捐贈須出於自願、動機純正並知情同意。故最不適當為B。","捐贈者評估重點:雙腎功能正常、無糖尿病或高血壓等會傷腎的慢性病、無活動性感染或惡性腫瘤、組織配對(ABO血型、HLA、交叉試驗)相容、心理與動機評估。HbA1c 8.0%約對應平均血糖180 mg\u002FdL以上,遠超一般控制目標(小於7%),故B明顯不適。捐腎者須「留一顆能撐一輩子」,任何潛在腎損因子皆為禁忌。",[24,27,30,32],{"term":25,"count":26},"糖尿病腎病變",4,{"term":28,"count":29},"活體腎臟捐贈條件",1,{"term":31,"count":29},"HbA1c血糖控制",{"term":33,"count":29},"捐贈者評估",[35,39,45,50,55,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-039","有關急性腎盂腎炎之照護，下列敘述何者最適當？①紅血球沉降速率（ESR）數值會升高 ②症狀為無尿及貧血 ③鼓勵病人多攝取酸灰性食物如乾梅或蔓越莓 ④鼓勵病人每 4 小時排尿一次",39,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-medical-surgical-035","有關肺栓塞病人護理措施之敘述，下列何者最不適當？",35,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"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":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-medical-surgical-037","下列何者為可抑制血管加壓素 I 轉換成血管加壓素 II 之抗高血壓藥物？",37,107,{"webId":56,"stem":57,"number":29,"year":58,"session":29},"nurse-109-1-medical-surgical-001","有關脊髓休克（Spinal shock）的敘述，下列何者錯誤？",109,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-medical-surgical-035","有關貧血病因的敘述，下列何者正確？",110,"2026-09-04",1788510762176]