[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-015":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-112-2-內外科護理學-015","nurse-112-2-medical-surgical-015",112,2,15,"有關急性胃炎之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"依醫囑給予氫氧化鋁及氫氧化鎂","不需禁食，仍可正常飲食","避免服用水楊酸或類固醇類的藥物","要有常規的作息，避免菸、酒","B",null,[],"本題考點是急性胃炎的護理措施，錯誤敘述為 B。依急性胃炎的照護原則，急性期胃黏膜正發炎受損，需讓胃部休息：A 依醫囑給予氫氧化鋁及氫氧化鎂等制酸劑中和胃酸、保護黏膜，正確；C 避免水楊酸（阿斯匹靈）與類固醇等會傷害胃黏膜、抑制前列腺素保護作用的藥物，正確；D 維持規律作息、戒除菸酒以減少對胃黏膜的刺激，正確。B 敘述錯誤：急性胃炎發作期應視症狀嚴重度予以短暫禁食讓胃休息，再由清流質、溫和飲食漸進恢復，並非「不需禁食、仍可正常飲食」，此敘述違反急性期讓胃黏膜復原的原則，故為答案。","急性胃炎多因藥物（NSAID、阿斯匹靈、類固醇）、酒精、壓力、幽門螺旋桿菌或刺激性食物造成胃黏膜急性發炎。照護核心是「移除刺激源、讓胃休息、保護黏膜」：急性期若有噁心嘔吐先禁食並補充水分電解質，症狀緩解後由清流質漸進至溫和、低刺激飲食，避免咖啡因、辛辣、過熱與菸酒。藥物治療以制酸劑、H₂ 阻斷劑或 PPI 抑酸護膜為主。NSAID 與類固醇之所以傷胃，是因抑制環氧化酶（COX）使前列腺素合成減少，削弱胃黏膜的黏液與碳酸氫鹽屏障，此機轉呼應第 011 題的黏膜保護概念。",[24,26,29,31],{"term":25,"count":10},"制酸劑",{"term":27,"count":28},"急性胃炎",1,{"term":30,"count":28},"胃黏膜保護",{"term":32,"count":28},"NSAID與類固醇避免",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-016","有關食道癌的病因，下列何者正確？",16,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-medical-surgical-032","有關器官移植後的護理指導，下列何者錯誤？",32,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-026","有關癌症病人使用干擾素治療之敘述，下列何者正確？",26,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-medical-surgical-024","有關使用主動脈氣球幫浦（IABP）病人的護理注意事項，下列敘述何者最適當？",24,114,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-106-1-medical-surgical-078","有關大量傷患事故檢傷分類 START（Simple Triage and Rapid Treatment）之敘述，下列何者錯誤？",78,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-medical-surgical-032","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心臟衰竭。護理師助張先生作身體檢查與評估時，下列何項檢查因心臟衰竭而可能會有陽性反應發現？",107,"2026-09-04",1788510747402]