[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-063","nurse-111-1-medical-surgical-063",111,1,63,"張先生 50 歲，患有糖尿病腎病變，下列治療何項錯誤？",{"A":14,"B":15,"C":16,"D":17},"鼓勵病人每天多攝取蛋白質（1.5～2.0 g\u002F天）","將糖化血色素控制在 7%以內","將血壓控制在 130\u002F80 mmHg 以內","血管收縮素轉化酶抑制劑（ACEI）可用來控制血壓","A",null,[],"本題考點在於糖尿病腎病變的飲食與血壓控制原則。腎功能受損時,蛋白質代謝產物(如尿素氮)排除困難,依營養治療原則須採「限制蛋白質」飲食,一般建議約 0.6～0.8 g\u002Fkg\u002F天以減輕腎臟過濾負擔,故 A 選項鼓勵每天攝取 1.5～2.0 g 的高蛋白反而加速腎功能惡化,屬錯誤處置,為本題答案。B 依糖尿病照護指引,糖化血色素控制在 7% 以內可延緩微血管併發症,正確。C 糖尿病合併腎病變的血壓目標為 130\u002F80 mmHg 以內,以減少蛋白尿,正確。D 血管收縮素轉化酶抑制劑(ACEI)能擴張出球小動脈、降低腎絲球內壓並減少蛋白尿,是此類病人首選降壓藥,正確。","ACEI 減少蛋白尿的機轉在於選擇性擴張出球小動脈,使腎絲球內壓下降,是「護腎」而非單純降壓,ARB 也有相同效果。限蛋白飲食須搭配足夠總熱量以避免身體分解自身蛋白產生更多含氮廢物,並以「高生物價蛋白」(如蛋、奶、瘦肉)為主。記憶口訣:糖尿病腎病變飲食=低蛋白、控血糖(HbA1c\u003C7%)、控血壓(\u003C130\u002F80)、ACEI\u002FARB 護腎。",[24,27,30,32,34],{"term":25,"count":26},"糖尿病腎病變",4,{"term":28,"count":29},"限蛋白飲食",2,{"term":31,"count":29},"ACEI",{"term":33,"count":10},"血壓控制目標",{"term":35,"count":10},"HbA1c",[37,41,45,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-medical-surgical-064","梁太太規律接受血液透析，因腎性貧血服用葉酸，其最恰當的服用時間為何？",64,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-111-2-medical-surgical-080","有關狂牛症（mad cow disease）的敘述，下列何者錯誤？",80,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-112-2-medical-surgical-014","有關病毒性肝炎傳染途徑之敘述，下列何者錯誤？",14,112,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-113-2-medical-surgical-032","有關鞏皮症（進行性系統性硬化症，progressive system sclerosis）護理指導之敘述，下列何者錯誤？",32,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-medical-surgical-036","有關肺栓塞病人使用 Warfarin（Coumadin ® ）治療期間之護理指導，下列敘述何者最不適當？",36,114,3,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-1-medical-surgical-080","有關登革熱之敘述，下列何者錯誤？",106,"2026-09-04",1788510734767]