[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-055":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-111-2-內外科護理學-055","nurse-111-2-medical-surgical-055",111,2,55,"有關慢性支氣管炎病人出院護理指導的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"限制水分的攝取量","增加醣類的攝取量","戒菸或避免二手菸","避免注射流感疫苗","C",null,[],"本題考點在於慢性支氣管炎（COPD 一型）的出院衛教。菸害是慢性支氣管炎最主要且可矯正的致病與惡化因子，戒菸並避免二手菸能減緩肺功能下降、降低急性發作，故 C 正確。考點在於辨識可控危險因子。A 錯在慢性支氣管炎痰液黏稠，應「增加」水分攝取以稀釋痰液利於排出，限水反而不利。B 錯在高醣飲食代謝後產生較多二氧化碳，增加呼吸負擔，COPD 病人宜適度提高蛋白與脂肪比例、避免過量醣類。D 錯在流感與肺炎鏈球菌疫苗正是 COPD 病人預防呼吸道感染惡化的重要措施，應鼓勵接種而非避免。","COPD 呼吸商概念：醣類 RQ 約 1.0、脂肪約 0.7，高醣飲食產生較多 CO₂ 加重高碳酸血症，故建議降醣、適度提高脂肪。痰液管理靠充足水分與有效咳嗽。感染是急性惡化最常見誘因，疫苗接種列入標準照護。",[24,26,28,30],{"term":25,"count":10},"慢性支氣管炎",{"term":27,"count":10},"呼吸商 RQ",{"term":29,"count":10},"疫苗接種",{"term":31,"count":32},"戒菸衛教",1,[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-056","評估慢性阻塞性肺病（COPD）病人的呼吸道阻塞嚴重度，下列何者為最重要的評估指標？",56,{"webId":39,"stem":40,"number":41,"year":42,"session":32},"nurse-112-1-medical-surgical-072","承上題，有關陳小姐術後之護理指導，下列敘述何者正確？",72,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-medical-surgical-006","下列何者不屬於腦幹功能評估？",6,3,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-114-1-medical-surgical-004","有關癲癇（epilepsy）發作處置，下列敘述何者錯誤？",4,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-008","有關痔瘡的敘述，下列何者正確？①教導病人手術後一週開始溫水坐浴，促進傷口癒合 ②內痔與外痔的分界線是肛門黏膜與上皮相接的齒狀線（dental line） ③內痔區域是由自主神經所支配、外痔區域則是由體／知覺神經所支配 ④痔瘡切除術後教導病人採仰臥，利用填塞於直腸內的敷料加壓傷口止血",8,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-072","為路倒者執行心肺腦復甦術期間，當接上電擊器顯示為心搏停止，此時應執行之急救措施，下列何者正確？",106,"2026-09-04",1788510738728]