[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-056","nurse-109-1-medical-surgical-056",109,1,56,"蔡先生因急性腎衰竭而住院，正處於少尿期，下列何項護理指導正確？",{"A":14,"B":15,"C":16,"D":17},"應採低熱量飲食","應限制高鈉高磷之食物","應採高蛋白飲食","採高鉀飲食","B",null,[],"本題考點為急性腎衰竭少尿期的飲食護理。少尿期因腎臟排泄功能下降,鈉、鉀、磷與含氮廢物易蓄積,故應限制高鈉高磷食物以減輕水腫、高血磷與電解質失衡,B正確。A少尿期應提供足夠熱量(以醣類為主)避免組織分解,採低熱量錯誤;C蛋白質代謝產生含氮廢物,腎排泄不佳時應適度限制蛋白而非高蛋白;D此期常見高血鉀有心律不整風險,應限鉀而非高鉀飲食,故正確者為B。","急性腎衰竭少尿期三大威脅:高血鉀(致命心律不整)、體液過多(肺水腫)、代謝性酸中毒。飲食原則「限鈉、限鉀、限磷、限蛋白、足夠熱量」。足夠的非蛋白熱量可減少身體分解自身蛋白產生含氮廢物。利尿期則相反,須留意脫水與低血鉀。",[24,27,29,31],{"term":25,"count":26},"急性腎衰竭少尿期",2,{"term":28,"count":10},"限制高鈉高磷",{"term":30,"count":10},"限鉀與限蛋白",{"term":32,"count":10},"足夠熱量避免組織分解",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-057","王先生因急性腎衰竭而急診入院，目前檢驗測得 arterial blood gas 為 pH：7.23，PaCO 2 ：32 mmHg， HCO 3 －：17.5 mEq\u002FL，PaO 2 ：82 mmHg，SaO 2 ：98%，此結果屬：",57,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-073","下列何者為高血糖高滲透壓狀態（HHS）病人出現脫水的最常見原因？",73,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-110-2-medical-surgical-007","下列何者為評估病人腦幹功能的檢查？",7,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-045","皮膚表皮破皮並看得到皮下脂肪組織，且傷口出現黏液或滲出物，可能為第幾期壓傷？",45,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-medical-surgical-009","有關消化性潰瘍藥物治療之目的，下列何者錯誤？",9,112,3,{"webId":59,"stem":60,"number":57,"year":61,"session":10},"nurse-114-1-medical-surgical-003","有關頭部外傷相關合併症的敘述，下列何者正確？",114,"2026-09-04",1788510712825]