[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"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-107-1-精神科與社區衛生護理學-068","nurse-107-1-psychiatric-community-068",107,1,68,"張老先生進入腎臟疾病晚期，社區衛生護理師家訪時，對他的飲食指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"避免使用含鉀的低鈉鹽作為調味品","避免使用肉汁或高湯拌飯","宜攝取新鮮蔬果，減少烹煮，尤以生菜或精力湯為佳","宜攝取低氮澱粉類食物，如冬粉、米粉或米苔目等","C",null,[],"本題考點在腎臟疾病晚期的飲食指導，屬「選錯誤」題。依慢性腎臟病末期須限鉀、限磷、限鈉並控制蛋白質的飲食原則，C「宜攝取新鮮蔬果、減少烹煮，尤以生菜或精力湯為佳」錯誤、即為答案，因生菜與精力湯保留大量鉀離子，會加重高血鉀風險，蔬菜應先切小、汆燙去鉀後再食用。A 避免使用含鉀低鈉鹽正確，因低鈉鹽常以鉀取代鈉，會使血鉀升高；B 避免以肉汁、高湯拌飯正確，因湯汁含磷、鉀與鈉高；D 攝取低氮澱粉（冬粉、米粉、米苔目）正確，可供熱量又減少蛋白質負擔。","末期腎病因腎絲球過濾率下降，鉀、磷、含氮廢物與水分排除受限。高血鉀可致心律不整甚至心跳停止，故蔬菜須「先燙後炒、湯汁勿飲」以溶出鉀離子，生食與精力湯恰好逆向操作。低氮澱粉（幾乎純醣類、蛋白質極低）用來補足熱量、避免身體分解自身蛋白產生更多含氮廢物。低鈉鹽的陷阱在於「以鉀代鈉」，對限鉀者反而危險。口訣「限鉀限磷限鈉低蛋白、澱粉補熱量、蔬菜要汆燙」。",[24,26,28,30],{"term":25,"count":10},"末期腎病飲食",{"term":27,"count":10},"限鉀原則",{"term":29,"count":10},"低氮澱粉",{"term":31,"count":10},"低鈉鹽含鉀陷阱",[33,37,43,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-069","蔡太太與先生及其父母、阿公和阿嬤同住，並育有兩對雙胞胎，請問蔡家的家庭關係複雜數為：",69,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-108-2-psychiatric-community-005","護理師跟王小姐討論導致她憂鬱的主要生活壓力源，及遇到壓力時，王小姐常會立即出現責備自己的壓力反應。上述通常是出現於治療性人際關係的那個期別？",5,108,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-psychiatric-community-019","當精神病人出現暴力或自傷行為時，為了保護病人的安全而予約束，約束病人時需注意的事項，下列何者正確？①疏散圍觀病友 ②為了安全先予約束再由醫師開醫囑 ③出現攻擊行為時勿單獨處理 ④依醫囑帶病人入保護室並上鎖、打開監視器",19,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-057","執行衛生教育計畫時，評估民眾的參與程度，是屬於下列何種評價？",57,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-psychiatric-community-021","葛先生，診斷為雙相情緒障礙症，入院第三天，在入院期間常常在大廳走動，很容易與其他病友起口角或衝突，經醫療團隊討論後決定給予葛先生執行隔離措施，對隔離措施的敘述，下列何者正確？",21,111,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-112-2-psychiatric-community-055","社區護理師執行均衡飲食計畫後，評價使用的人力、物力及經費與成果的關係，是屬於何種評價？",55,112,"2026-09-04",1788510704633]