[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-016":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":10},"nurse-110-2-內外科護理學-016","nurse-110-2-medical-surgical-016",110,2,16,"李先生因胃癌接受全胃切除術，術後開始進食稀飯，約 30 分鐘後出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",{"A":14,"B":15,"C":16,"D":17},"胰島素分泌太少","攝入水分過多","缺少胃酸","食物快速進入腸道","D",null,[],"本題考點在於全胃切除術後傾食症候群(dumping syndrome)的成因。全胃切除後失去幽門括約肌的節制，高滲透壓食物未經緩衝即快速傾入小腸，腸腔內為稀釋高滲食糜而大量抽吸血管內水分進入腸道，造成循環血量驟減與腸道膨脹，於進食後約十五至三十分鐘出現腹脹、噁心嘔吐、心悸、頭暈、冒汗等症狀，故最可能原因為「食物快速進入腸道」D。胰島素分泌太少(A)方向錯誤，早期傾食與胰島素無關。攝入水分過多(B)非核心機轉。缺少胃酸(C)影響消化吸收但不解釋此急性症狀群。","分早期與晚期：早期(15-30分)為高滲食糜致體液轉移+腸膨脹，出現血管運動症狀；晚期(1-3小時)為快速吸收葡萄糖刺激胰島素過度分泌造成反應性低血糖。護理原則：少量多餐、乾濕分離、餐時避免大量飲水、高蛋白低單醣、餐後平躺。記憶口訣「胃沒了門沒了→食物直衝小腸→傾食」。可連結概念：幽門功能、滲透壓、反應性低血糖。",[24,26,29,31],{"term":25,"count":10},"傾食症候群",{"term":27,"count":28},"全胃切除",1,{"term":30,"count":28},"幽門功能喪失",{"term":32,"count":28},"高滲透壓食糜",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-017","有關痔瘡術後的護理措施，下列何者錯誤？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-medical-surgical-033","輸注下列何種藥物時，需以不透光錫箔紙包住點滴瓶及輸液管？",33,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-047","有關燒傷的病生理變化，下列何者錯誤？",47,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-005","有關巴金森氏症病人的自我照顧指導，下列敘述何者錯誤？",5,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-medical-surgical-009","有關胰臟炎急性發作及其治療的敘述，下列何者錯誤？",9,114,{"webId":59,"stem":60,"number":52,"year":61,"session":10},"nurse-115-2-medical-surgical-003","有關成人腦室外引流系統裝置的護理措施，下列敘述何者錯誤？",115,"2026-09-04",1788510728901]