[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-內外科護理學-011","nurse-112-1-medical-surgical-011",112,1,11,"有關升結腸造瘻的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"水分需求增加","糞便呈半成形狀","須定期做結腸灌洗","經訓練後排便可具規律性","A",null,[],"本題考點在於升結腸造瘻（ascending colostomy）的排泄特性與照護。依大腸生理，升結腸位置早、水分尚未被大量再吸收，故排出物呈水樣、水分流失多，病人水分需求相對增加，故選 A。B 錯在升結腸造瘻排出物偏水狀而非半成形，半成形糞便多見於橫結腸造瘻；C 錯在需定期結腸灌洗以建立規律排便者為乙狀結腸或降結腸造瘻，升結腸不適用；D 錯在升結腸造瘻因排泄物稀且持續，難以經訓練達到規律排便，能建立規律性者屬遠端（降、乙狀）造瘻。故唯 A 正確。","造瘻位置決定糞便性狀：越近端（升結腸、迴腸）水分越多、排泄物越稀、對皮膚刺激越大、脫水與電解質流失風險越高；越遠端（降、乙狀結腸）越成形、可灌洗建立規律。記憶口訣「越前面越稀、越後面越成形」。升結腸造瘻護理重點在補足水分電解質、加強造瘻口周圍皮膚保護。",[24,26,28,30],{"term":25,"count":10},"升結腸造瘻",{"term":27,"count":10},"排泄物性狀",{"term":29,"count":10},"水分電解質流失",{"term":31,"count":10},"造瘻位置與糞便",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-012","有關肝活體組織切片檢查，下列敘述何者正確？",12,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-028","有關心肌梗塞急性期的治療，下列敘述何者正確？①從鼻套管給 10 L\u002Fmin 氧氣 ②給予麻醉性止痛劑止痛，如 morphine ③給予血栓溶解劑治療 ④給予抗凝血劑治療 ⑤補充維生素 K",28,2,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-3-medical-surgical-042","有關腎臟移植發生排斥時的主要處置，下列敘述何者錯誤？",42,3,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-medical-surgical-040","有關腎臟功能檢測血清肌酸酐（creatinine）之敘述，下列何者錯誤？",40,114,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-115-2-medical-surgical-044","有關低血糖的敘述，下列何者錯誤？",44,115,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-028","有關風濕熱與風濕性心臟病之敘述，下列何者錯誤？",107,"2026-09-04",1788510741784]