[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-017","nurse-111-1-medical-surgical-017",111,1,17,"有關心口灼熱（Heart Burn）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是下食道括約肌異常所致","病人常以痙攣痛或打結般形容此不適","進食後平躺可緩解症狀","是食道疾病的常見症狀","C",null,[],"本題考點是心口灼熱(heartburn)的成因與加重緩解因素,採否定題。依胃食道逆流的機轉,心口灼熱是下食道括約肌(LES)鬆弛或功能異常,使胃酸逆流刺激食道黏膜產生胸骨後燒灼感;躺平會使胃內容物更易逆流入食道而『加重』症狀,故選項 C『進食後平躺可緩解症狀』方向錯誤,選 C。A 正確,病因與下食道括約肌異常有關。B 正確,病人常以胸骨後灼熱、悶痛或打結般不適來形容。D 正確,心口灼熱是食道(逆流)疾病最常見的症狀。","抗逆流照護與本題互為表裡:餐後保持直立至少 1～2 小時、床頭抬高、勿平躺、避免高脂與刺激性食物、戒菸酒咖啡因、避免過飽與睡前進食。機轉核心是重力與 LES 張力:平躺去除重力屏障、腹內壓相對升高,故逆流加劇。鑑別重點:心口灼熱屬燒灼性、與姿勢\u002F飲食相關,須與心絞痛(壓迫性、與活動相關)區分,以免誤判。",[24,27,30,32],{"term":25,"count":26},"胃食道逆流",6,{"term":28,"count":29},"心口灼熱",2,{"term":31,"count":10},"下食道括約肌功能異常",{"term":33,"count":10},"平躺加重逆流",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-018","有關腕隧道症候群的敘述，下列何者正確？",18,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-medical-surgical-034","奇脈（paradoxical pulse）是指下列何種情況？",34,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-048","有關器官移植前的組織配對，降低排斥反應之檢驗項目，不包含下列何者？",48,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-036","有關慢性阻塞性肺疾病（COPD）病人飲食指導之敘述，下列何者較適當？①進食時可將氧氣面罩更換為氧氣套管 ②選擇易咀嚼食物 ③增加碳水化合物 ④減少水分的攝取",36,113,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-114-2-medical-surgical-040","有關泌尿道感染及衛教之敘述，下列何者最適當？",40,114,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-1-medical-surgical-034","有關準備化學治療藥劑的注意事項，下列何者錯誤？",106,"2026-09-04",1788510734365]