[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-010":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":26},"nurse-109-1-內外科護理學-010","nurse-109-1-medical-surgical-010",109,1,10,"有關大腸癌病因的敘述，下列何者錯誤﹖",{"A":14,"B":15,"C":16,"D":17},"大腸息肉","發炎性腸病變","飲食習慣攝取富含植物性蛋白食物","飲食習慣缺乏高纖維食物與蔬菜","C",null,[],"本題考點在於大腸癌危險因子的辨識。大腸息肉(A)尤其是腺瘤性息肉為癌前病變,發炎性腸病變(B)如潰瘍性結腸炎會增加癌變風險,長期缺乏高纖維食物與蔬菜(D)使糞便滯留、致癌物接觸腸壁時間延長,皆為公認病因。而攝取富含植物性蛋白的食物(C)屬健康飲食,非但不是致病因子,反而具保護作用,故此敘述錯誤,為答案。真正的飲食危險因子為高脂肪、高紅肉與低纖維。考點在於區辨大腸癌的保護因子與危險因子,勿將健康飲食誤列為病因。","大腸癌危險因子可分三類:癌前病變(腺瘤性息肉、家族性腺瘤性瘜肉症)、慢性發炎(潰瘍性結腸炎、克隆氏症)、生活飲食(高脂、高紅肉與加工肉、低纖維、肥胖、缺乏運動、抽菸飲酒)。高纖蔬果與植物性飲食則是保護因子,能加速腸道排空、稀釋致癌物、縮短其與腸壁接觸時間。這題陷阱是把「保護因子」偽裝成病因。記憶對比:高脂低纖致癌,高纖蔬果護腸。",[24,27,30,32],{"term":25,"count":26},"大腸癌危險因子",5,{"term":28,"count":29},"腺瘤性息肉",3,{"term":31,"count":10},"發炎性腸病",{"term":33,"count":10},"高纖維飲食保護作用",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-011","腸道檢查前一日，可以攝取之飲食，下列何者較適當？",11,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-medical-surgical-027","心包填塞（cardiac tamponade）之臨床表徵，下列何者正確？①低沉的心音 ②中心靜脈壓上升 ③奇異脈 ④脈搏壓變寬",27,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-medical-surgical-041","有關骨髓移植後病人產生移植物抗宿主疾病（Graft-versus-host Disease; GVHD）症狀，下列何者錯誤？",41,110,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-1-medical-surgical-079","病人輸血 10 分鐘時出現蕁麻疹及哮喘之處置，下列何者錯誤？",79,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-medical-surgical-043","有關原發性皮膚病變之敘述，下列何者正確？",43,112,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-113-3-medical-surgical-007","有關痔瘡切除手術病人術後之護理措施，下列何者適當？",7,113,"2026-09-04",1788510712386]