[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-110-1-內外科護理學-017","nurse-110-1-medical-surgical-017",110,1,17,"有關胃食道逆流的居家照護注意事項，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"避免進行腹內壓升高的活動","需戒菸、酒及咖啡","避免高油脂及高熱量食物","進食後需立即平躺","D",null,[],"本題考點為胃食道逆流(GERD)的居家照護,題目要選錯誤者。依病生理,逆流因胃內容物經鬆弛的食道下括約肌上溢,平躺會使重力無法幫助胃內容物下行、加重逆流,故進食後應維持直立且睡前 2–3 小時勿進食,選項 D『進食後需立即平躺』錯誤,答案選 D。選項 A 正確,避免腹內壓升高的活動(彎腰、提重、束緊腰帶)可減少逆流;選項 B 正確,菸、酒、咖啡會降低 LES 張力,需戒除;選項 C 正確,高油脂與高熱量食物延遲胃排空、鬆弛 LES,應避免。故僅 D 與抗逆流原則背道而馳。","GERD 生活型態四原則:重力(飯後直立、床頭抬高 15–20 公分、睡前勿進食)、減壓(勿彎腰束腰提重、減重)、避刺激(菸酒咖啡、巧克力、薄荷、高脂會降 LES 壓力)、少量多餐。藥物以 PPI 抑酸為主。核心觀念是別讓胃內容物有『往上跑』的機會,故飯後立刻平躺是最典型的錯誤示範。",[24,27,29,31],{"term":25,"count":26},"胃食道逆流",6,{"term":28,"count":10},"食道下括約肌張力",{"term":30,"count":10},"飯後維持直立",{"term":32,"count":10},"避免高油脂與菸酒咖啡",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-018","下列何者是罹患骨質疏鬆症風險最低的情況？",18,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-medical-surgical-034","有關心包膜積水的主要症狀，下列何者錯誤？",34,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-medical-surgical-048","有關後天免疫缺乏症候群（Acquired Immunodeficiency Syndrome, AIDS）之敘述，下列何者錯誤？",48,111,{"webId":49,"stem":50,"number":26,"year":51,"session":42},"nurse-112-2-medical-surgical-006","張先生因高處跌下導致脊髓損傷住院，護理師可經由下列何種反射出現，而知張先生已渡過脊髓休克期？",112,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-113-2-medical-surgical-030","有關類風溼性關節炎醫療處置之敘述，下列何者錯誤？",30,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-medical-surgical-024","有關使用主動脈氣球幫浦（IABP）病人的護理注意事項，下列敘述何者最適當？",24,114,3,"2026-09-04",1788510720876]