[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-115-1-內外科護理學-007","nurse-115-1-medical-surgical-007",115,1,7,"有關口服膽囊攝影檢查（oral cholecystography）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"檢查前需採低脂飲食","急性膽囊炎為適應症之一","檢查前30分鐘服下含碘顯影劑","檢查後若排尿有燒灼感代表出現泌尿道感染","A",null,[],"本題考點是口服膽囊攝影的檢查前後準備原理。依此檢查的顯影原理,含碘顯影劑經口服吸收後由肝臟排入膽汁並濃縮於膽囊才能顯影,若飲食含脂肪會刺激膽囊收縮素分泌而使膽囊排空,顯影劑被排掉就看不到膽囊輪廓,故檢查前一晚採低脂或無脂飲食,選 A。B 錯:急性膽囊炎屬禁忌,發炎與阻塞使膽囊無法濃縮顯影劑,且檢查會加重症狀。C 錯:顯影劑須在檢查前一晚、約十至十二小時前服用,留足時間讓肝臟排泌與膽囊濃縮。D 錯:顯影劑部分由腎排出,解尿時輕微燒灼屬預期反應,不等於泌尿道感染。","此題的思路主軸是「顯影劑要留在膽囊裡」,所有前處置都圍繞這句話:前一餐低脂讓膽囊不收縮、前晚給藥留足濃縮時間、檢查當日禁食;若要觀察膽囊收縮功能,才會在攝影中途給脂肪餐當刺激。臨床上此檢查已多被腹部超音波與內視鏡逆行性膽道胰管攝影取代,但國考仍常用它測驗顯影機轉。相關準備通則可一起記:含碘顯影劑檢查前需評估碘與海鮮過敏、腎功能與甲狀腺病史,檢查後鼓勵水分攝取以加速排除。延伸複習:膽囊收縮素的生理刺激、膽結石危險因子的 4F 記法。",[24,26,28,30],{"term":25,"count":10},"口服膽囊攝影",{"term":27,"count":10},"含碘顯影劑",{"term":29,"count":10},"膽囊收縮素",{"term":31,"count":10},"低脂飲食準備",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-008","有關口腔癌的敘述，下列何者正確？",8,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-018","有關軟組織損傷之敘述，下列何者錯誤？",18,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-056","以鼻套管 4 L\u002Fmin 所提供的氧氣濃度約為何？",56,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-020","上石膏後 24 小時內病人的護理評估結果，下列何者應做立即處置？",20,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-054","使用卞德里氧氣面罩（Venturi mask）給氧的最主要特點為何？",54,110,"2026-08-06",1787299088585]