[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-011":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-111-1-內外科護理學-011","nurse-111-1-medical-surgical-011",111,1,11,"有關預防傾倒症候群（Dumping Syndrome）的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"鼓勵病人少量多餐，進食時採半坐臥姿勢","鼓勵病人多進食富含水分的食物","治療先從增加碳水化合物飲食開始","建議採高脂肪、低蛋白、高糖食物","A",null,[],"本題考點是胃切除後傾倒症候群的飲食護理。依其機轉,胃部手術後高滲透壓食糜快速排入小腸,液體被大量拉入腸腔造成腸脹、血容量驟降及低血糖等症狀,故飲食原則是延緩胃排空與降低滲透壓負荷:少量多餐、進食時採半坐臥或平躺、餐間才喝水,選 A。B 錯,進食時應『限制』水分、乾濕分離,避免加速食糜排入腸道。C 錯,治療應『減少』單醣與精緻碳水化合物,而非從增加碳水化合物開始。D 錯,原則是高蛋白、高脂肪、『低』碳水(低糖),而非高糖低蛋白,選項方向相反。","飲食口訣『低糖高蛋白、乾濕分離、少量多餐、餐後平躺』。機轉分早發(餐後 15～30 分,高滲食糜致腸脹、心悸、冒汗)與晚發(餐後 1～3 小時,反應性高胰島素→低血糖)。之所以進食時平躺,是利用重力減緩胃排空。高脂高蛋白可延緩排空並提供熱量,單醣最會引發滲透性傾倒故須避免。",[24,27,29,31],{"term":25,"count":26},"傾倒症候群",5,{"term":28,"count":10},"少量多餐乾濕分離",{"term":30,"count":10},"低糖高蛋白飲食",{"term":32,"count":10},"延緩胃排空",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-012","下列何者不是食道癌常見的臨床表徵？",12,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-028","有關冠狀動脈繞道手術後，為維持正常心輸出量的處置，下列敘述何者錯誤？",28,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-042","下列那一類白血病的預後最好？",42,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-030","有關鞏皮症臨床表徵之敘述，下列何者錯誤？",30,113,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-114-2-medical-surgical-034","急性呼吸窘迫症候群（ARDS）病人產生表面張力素的肺細胞受損，會導致病人出現下列何種問題？",34,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-028","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心衰竭，病人出現下列那些表徵表示最可能有急性肺水腫？①心搏過緩 ②高燒 ③端坐呼吸 ④帶有泡沫的痰",106,"2026-09-04",1788510734302]