[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-108-1-內外科護理學-049","nurse-108-1-medical-surgical-049",108,1,49,"有關全身性紅斑性狼瘡的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"告知病人避免直接暴露於陽光下","提供高蛋白、高維生素及高鐵的均衡飲食","若腎臟受到侵犯，應採低鈉、高鉀、高蛋白飲食","在關節炎症的急性期應予冷敷","C",null,[],"本題考點在於全身性紅斑性狼瘡（SLE）合併腎侵犯時的飲食原則。依腎功能保護原則，狼瘡腎炎時腎絲球濾過下降、排鉀受限，應採低鈉、低鉀、低蛋白（適量優質蛋白）飲食以減輕腎臟負擔，題目所述「高鉀、高蛋白」與此相反，故錯誤敘述選 C。（A）正確，紫外線會誘發狼瘡活動與皮膚紅斑，應避免陽光直曬。（B）正確，一般狀況下給高蛋白、高維生素及高鐵均衡飲食有助修復與矯正貧血。（D）正確，關節炎急性發炎期予冷敷可減輕紅腫熱痛。","須區分兩種情境：SLE 一般營養支持強調高蛋白補充消耗與慢性發炎；一旦進展為狼瘡腎炎（免疫複合體沉積於腎絲球、第 III 型過敏），排泄受限則須限鈉、限鉀、限蛋白以延緩腎損。這種「有無腎侵犯決定蛋白高低」是常見陷阱。SLE 為多器官自體免疫病，光敏感、蝶形紅斑、抗核抗體（ANA）、抗雙股 DNA 抗體為特徵。連結概念：狼瘡腎炎、免疫複合體、抗 dsDNA、限鉀飲食、光敏感。",[24,27,29,31,33],{"term":25,"count":26},"免疫複合體沉積",4,{"term":28,"count":10},"狼瘡腎炎飲食",{"term":30,"count":10},"低鈉低鉀低蛋白",{"term":32,"count":10},"腎功能保護",{"term":34,"count":10},"光敏感避陽",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-050","有關細胞性免疫之敘述，下列何者正確？",50,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-108-2-medical-surgical-066","有關腎盂腎炎的敘述，下列何者錯誤？",66,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-109-1-medical-surgical-080","病人因腰椎椎間盤突出接受手術治療，術後依醫囑需穿硬背架 3 個月，下列敘述何者錯誤？",80,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-medical-surgical-038","有關何杰金氏淋巴瘤的敘述，下列何者錯誤？",38,110,{"webId":56,"stem":57,"number":44,"year":58,"session":10},"nurse-112-1-medical-surgical-002","與阿茲海默症病人的溝通技巧，下列何者不適宜？",112,{"webId":60,"stem":61,"number":62,"year":58,"session":63},"nurse-112-3-medical-surgical-036","有關執行氣切造口術病人抽痰的敘述，下列何者不適當？",36,3,"2026-09-04",1788510709941]