[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-013":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-013","nurse-112-1-medical-surgical-013",112,1,13,"有關迴腸造瘻口的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"多吃蛋、乳酪等食物","多攝食高纖維的食物","記錄迴腸造瘻的引流量","每天攝取不超過 1,500 c.c.的液體","C",null,[],"本題考點在於迴腸造瘻（ileostomy）的護理指導。依迴腸造瘻排出物稀水、量多且流失快的特性，須記錄引流量以監測體液與電解質平衡、預防脫水，故選 C。A 錯在蛋、乳酪等易產氣或不易消化食物並非鼓勵多吃的重點，反而部分高纖或易脹氣食物需節制；B 錯在迴腸造瘻初期應避免大量粗纖維，以免未充分消化的纖維阻塞造瘻口，並非一味多攝取高纖；D 錯在因排出物含大量水分電解質，每日液體攝取應充足（常需多於一般量）以補償流失，限制在 1,500 c.c. 以下反易脫水。故唯 C 正確。","迴腸造瘻位於小腸末端，排出物呈稀糊狀、富含消化酶（對皮膚刺激強）、水分電解質流失大，護理重點：記錄輸出量、補足水分與鈉鉀、加強造瘻口皮膚保護、避免易阻塞食物（高纖粗渣、堅果、爆米花）並細嚼慢嚥。與結腸造瘻對比，迴腸造瘻脫水與阻塞風險更高。記憶要點「量稀要記錄、補水補電解質、纖維要小心」。",[24,26,28,30],{"term":25,"count":10},"迴腸造瘻",{"term":27,"count":10},"引流量記錄",{"term":29,"count":10},"水分電解質平衡",{"term":31,"count":10},"造瘻口阻塞預防",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-014","有關慢性胃炎之敘述，下列何者錯誤？",14,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-030","有關血管產生動脈粥狀硬化（atherosclerosis）的病理機轉，下列敘述何者錯誤？",30,2,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-3-medical-surgical-044","有關中樞性尿崩症的敘述，下列何者正確？",44,3,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-medical-surgical-042","有關糖尿病酮酸中毒（DKA）之處置，下列何者正確？①建立靜脈輸液，由低劑量胰島素開始給與 ②最初2小時，給與0.45％生理食鹽水維持電解質平衡         ③等尿液排出量恢復正常，應補充鉀離子 ④血液pH值>7.1時，則與以重碳酸鈉（NaHCO 3）",42,114,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-115-2-medical-surgical-046","有關第 1 型與第 2 型糖尿病比較之敘述，下列何者錯誤？",46,115,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-030","有關胃潰瘍的臨床症狀，下列何者正確？",107,"2026-09-04",1788510741801]