[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-016","nurse-109-1-medical-surgical-016",109,1,16,"有關胃食道逆流病人之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"應少量多餐","睡覺前吃一點宵夜","睡覺時床頭抬高","避免便秘","B",null,[],"本題考點在於胃食道逆流（GERD）的生活護理指導，屬選錯誤題。GERD因下食道括約肌鬆弛使胃酸逆流，睡前進食宵夜會增加胃內容物與胃酸分泌，平躺時更易逆流灼傷食道，故選項B「睡前吃宵夜」為錯誤指導，應選B。選項A少量多餐可減少胃部脹滿與胃內壓，屬正確；選項C睡覺時床頭抬高利用重力減少夜間逆流，屬正確；選項D避免便秘可防止腹壓升高將胃內容物推向食道，屬正確。故唯一錯誤的是睡前進食。","GERD照護核心是「降低胃內壓與逆流機會」：睡前2～3小時禁食、避免高脂與咖啡因、巧克力、薄荷（均鬆弛下食道括約肌）、戒菸酒、體重控制、床頭抬高15～20公分。藥物以氫離子幫浦抑制劑（PPI，如omeprazole）抑酸為主。記憶對比：抬高床頭與睡前禁食都是「對抗重力性逆流」的措施。",[24,27,29,31],{"term":25,"count":26},"胃食道逆流",6,{"term":28,"count":10},"下食道括約肌鬆弛",{"term":30,"count":10},"睡前禁食",{"term":32,"count":10},"床頭抬高",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-017","有關退化性關節炎的敘述，下列何者正確？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-medical-surgical-033","有關病人心電圖 VT 之相關處置，下列何者正確？",33,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-047","有關乳癌的敘述，下列何者錯誤？",47,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-medical-surgical-005","有關身體單側忽略病人的護理措施，下列何者正確？①經常變動房間物品擺設，以增加對周圍環境關注 ②教導病人用轉頭方式，來代償視野缺損 ③鼓勵病人注意及照顧自己患側 ④叫人鈴及電話放在患側，以增加對患側環境關注",5,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-medical-surgical-049","有關免疫球蛋白特性之敘述，下列何者正確？",49,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-medical-surgical-013","下列何者會出現眼睛痛的症狀？",13,113,3,"2026-09-04",1788510712443]