[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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":25},"nurse-106-2-內外科護理學-055","nurse-106-2-medical-surgical-055",106,2,55,"有關慢性阻塞性肺部疾病病人的飲食指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"少量多餐","攝取適量的鈣、鉀離子","增加碳水化合物飲食","製作成易咀嚼的食物","C",null,[],"本題考點為慢性阻塞性肺病(COPD)的飲食指導原則。碳水化合物代謝產生的二氧化碳量相對較高(呼吸商 RQ 最高,約 1.0),對本就 CO₂ 滯留的 COPD 病人不利,故應『減少』而非增加碳水化合物、相對提高脂肪比例以降低 CO₂ 產生,C『增加碳水化合物飲食』錯誤,選 C。A 少量多餐可減少飽脹、避免橫膈受壓影響呼吸,正確;B 適量補充鈣、鉀離子(尤其使用利尿劑\u002F類固醇者)以維持電解質,正確;D 製作易咀嚼食物減少進食時的能量與氧氣消耗,正確。故選 C。","呼吸商(RQ)概念:醣類 RQ≈1.0、蛋白質≈0.8、脂肪≈0.7——同熱量下脂肪產生的 CO₂ 最少,故 COPD 建議『高脂適蛋白低醣』以減輕 CO₂ 負荷。加上少量多餐避免橫膈受壓、進食前休息與給氧。口訣:『COPD 少吃醣、多用脂,少量多餐好呼吸』。",[24,26,29,32,34],{"term":14,"count":25},5,{"term":27,"count":28},"二氧化碳滯留",4,{"term":30,"count":31},"慢性阻塞性肺病(COPD)",1,{"term":33,"count":31},"呼吸商(RQ)",{"term":35,"count":31},"高脂低醣飲食",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-medical-surgical-056","接受胸腔放液穿刺術後的病人，需監測的合併症，不包括下列何者？",56,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-107-1-medical-surgical-072","有關尿崩症病人之照護與處置，下列何者不適當？",72,107,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-108-1-medical-surgical-006","病人突然左側肢體無力，由家屬送入急診，目前肌肉力量右側肢體 5 分、左手 3 分、左腳 1 分，請問最有可能是那一條腦血管的阻塞？",6,108,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-109-1-medical-surgical-044","有關過敏性休克之敘述，下列何者錯誤？",44,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-medical-surgical-008","有關顱內壓升高（IICP）的護理措施，下列何者正確？",8,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-2-medical-surgical-042","下列何者不是接受周邊造血幹細胞移植治療的禁忌症？",42,111,"2026-09-04",1788510698762]