[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-108-1-內外科護理學-009","nurse-108-1-medical-surgical-009",108,1,9,"有關預防傾倒症候群的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"多進食液體","用餐後需立即散步幫助消化","採取少量多餐","採高脂肪、低蛋白、低糖及乾性食物","C",null,[],"本題考點是傾倒症候群（dumping syndrome）的預防飲食。依其機轉，胃切除後食物過快進入小腸引發高滲透性體液轉移與血糖波動，故預防重點在減緩胃排空、少量多餐，正解為 C。A 錯在用餐時不宜大量飲用液體，液體會加速食物排入腸道、加重傾倒，應採乾濕分離、餐間再補充水分。B 錯在餐後不應立即散步或活動，反而應平躺或半坐臥休息以減緩排空。D 錯在飲食應採高蛋白（非低蛋白）、適度脂肪、低碳水（少單醣）並以乾性食物為主；此選項的「低蛋白」有誤，蛋白質應提高以助組織修復與延緩排空。判斷關鍵在於「少量多餐、乾濕分離、餐後平躺、高蛋白低糖」以延緩胃排空。","傾倒症候群分早期（餐後 15–30 分，高滲食糜快速入腸致體液移入腸腔，出現腹脹、心悸、冒汗）與晚期（餐後 1–3 小時，反應性低血糖）。飲食對策：少量多餐、細嚼慢嚥、乾濕分離（進餐時不喝水）、高蛋白適脂、限制單醣與精緻糖、餐後平躺 20–30 分。記憶口訣：少乾慢躺、低糖高蛋白。可連結胃切除術後護理複習。",[24,27,29,31,33],{"term":25,"count":26},"傾倒症候群",5,{"term":28,"count":26},"少量多餐",{"term":30,"count":10},"乾濕分離",{"term":32,"count":10},"低糖高蛋白",{"term":34,"count":10},"胃切除術後",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-010","有關口腔癌之敘述，下列何者錯誤？",10,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-108-2-medical-surgical-026","60 歲的王太太是退休公務員，平日在家日常生活活動都靠家人幫忙，休息時仍感呼吸喘，晚上常因呼吸不順無法入睡，根據美國紐約心臟學會（NYHA）的心臟功能分級標準，上述情況何者正確？",26,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-109-1-medical-surgical-040","下列何種皮膚疾病是由自體免疫系統所引起，會出現急性炎症反應但不具傳染性？",40,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-1-medical-surgical-078","有關敗血性休克引發瀰漫性血管內凝血（DIC）之敘述，下列何者正確？",78,110,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"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,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-112-2-medical-surgical-076","選擇鼻咽人工氣道適當尺寸之量測方式，下列何者正確？",76,112,"2026-09-04",1788510709548]