[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-112-1-內外科護理學-016","nurse-112-1-medical-surgical-016",112,1,16,"有關食道憩室之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"臨床上常以電腦斷層掃描來確定憩室的位置","症狀嚴重時，可將憩室切除後再將食道黏膜吻合","不可使用食道鏡或內視鏡檢查，以避免食道穿孔","病人餐後 2 小時勿執行劇烈運動，以避免食物逆流","A",null,[],"本題考點在於食道憩室的診斷與照護。依診斷原則,食道憩室的定位首選鋇劑吞嚥攝影(barium swallow),能清楚顯示憩室囊袋位置與大小,而非電腦斷層,故錯誤敘述為A。B的症狀嚴重時可行憩室切除並吻合食道黏膜,屬正確手術處置;C因憩室壁薄,食道鏡或內視鏡易造成穿孔而須謹慎,敘述正確;D餐後勿劇烈運動以免食物滯留逆流,屬正確衛教,故皆非答案。","最常見為Zenker憩室(咽食道交界),典型症狀為吞嚥困難、口臭、夜間逆流未消化食物、嗆咳。診斷金標準是食道鋇劑攝影;內視鏡因盲插易戳破薄壁憩室,列為相對禁忌或須小心操作。照護重點:少量多餐、餐後採坐姿、避免睡前進食,以減少滯留與吸入性肺炎風險。",[24,27,29,31],{"term":25,"count":26},"食道憩室",2,{"term":28,"count":10},"鋇劑吞嚥攝影",{"term":30,"count":10},"Zenker憩室",{"term":32,"count":10},"食道穿孔風險",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-017","有關骨折病人發生脂肪栓塞之敘述，下列何者錯誤？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-033","有關急性移植物對抗宿主疾病（Graft-versus-host-Disease, GVHD）之敘述，下列何者正確？",33,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-3-medical-surgical-047","有關甲狀腺功能亢進病人的飲食指導，下列何者不適當？",47,3,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-medical-surgical-045","有關尿崩症病人之護理處置，下列何者錯誤？",45,114,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-115-2-medical-surgical-049","有關中心導管組合式照護之敘述，下列何者錯誤？",49,115,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-033","手術後輸血導致出現溶血性黃疸所造成之檢驗值變化，下列何者正確？",107,"2026-09-04",1788510741839]