[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-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":10},"nurse-115-1-內外科護理學-039","nurse-115-1-medical-surgical-039",115,1,39,"有關泌尿道檢查之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"尿流速檢查的病人，須於檢查前禁食","腎動脈攝影術檢查的病人，檢查後應多喝水","靜脈腎盂攝影術檢查的病人，檢查中採俯臥姿勢","經皮腎臟組織切片檢查的病人，檢查中採截石臥姿","B",null,[],"本題考點是各項泌尿道檢查的準備與檢查姿勢。腎動脈攝影術屬使用含碘顯影劑的血管攝影，顯影劑經腎臟排除且具腎毒性，檢查後若無禁忌應增加水分以稀釋並加速其排出，降低顯影劑腎病變的風險，故B正確。A錯在尿流速檢查需要膀胱有足夠尿量才能測得排尿速率與型態，準備方向是適量飲水與忍尿，並非禁食。C錯在靜脈腎盂攝影術是注入顯影劑後連續攝取腎臟至膀胱的影像，檢查中採仰臥姿勢。D錯在經皮腎臟組織切片須自背部進針，檢查中採俯臥並於腹部下方墊枕以固定腎臟，截石臥姿是用於會陰與經尿道的處置。","顯影劑檢查的護理三步可通用於腎動脈攝影、靜脈腎盂攝影與電腦斷層：檢查前確認碘或海鮮過敏史、腎功能與是否服用雙胍類降血糖藥（需依醫囑暫停以避免乳酸中毒）；檢查中觀察過敏反應如皮疹、喉頭緊縮與呼吸困難；檢查後補充水分促進排除，並注意穿刺部位出血、血腫與遠端脈搏。經皮腎臟切片是本組最具出血風險的檢查，術後重點是平躺加壓、臥床休息、觀察尿色變化與生命徵象，並避免劇烈活動與提重物。姿勢可用「器官在哪就從哪進」來記：腎臟位於腹膜後而靠背部，故切片俯臥；會陰與尿道方向的操作（膀胱鏡、導尿、婦科檢查）用截石臥姿；純影像攝影多為仰臥。可延伸複習尿路動力學檢查的組成與膀胱內壓測定。",[24,26,28,30,32],{"term":25,"count":10},"腎動脈攝影術",{"term":27,"count":10},"顯影劑腎病變預防",{"term":29,"count":10},"尿流速檢查準備",{"term":31,"count":10},"靜脈腎盂攝影術",{"term":33,"count":10},"經皮腎臟切片俯臥姿",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-medical-surgical-040","預防腎功能不全病人血鉀過高之飲食護理指導，下列何者正確？",40,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-medical-surgical-036","有關惡性腫瘤特性之敘述，下列何者錯誤？",36,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-medical-surgical-050","下列何者為確診病人有無肺結核感染最準確的方式？",50,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-1-medical-surgical-008","有關肌無力症病人發生疑似膽鹼性危象（cholinergic crisis）時的處置，下列何者適當？①增加抗膽鹼酯酶藥物 ②停止使用 Pyridostigmine（Mestinon） ③由靜脈注射 atropine ④由靜脈注射類固醇",8,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-medical-surgical-052","外傷性肋骨骨折病人可能出現之徵候與症狀，下列何者正確？",52,109,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-110-2-medical-surgical-006","有關多發性硬化症的敘述，下列何者正確？",6,110,"2026-08-06",1787299088982]