[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-112-2-內外科護理學-017","nurse-112-2-medical-surgical-017",112,2,17,"有關骨質疏鬆症護理指導之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"採取非負重活動比負重活動好，以強化骨骼","下床活動時，可使用骨科支架，以減輕疼痛","每天日曬至少 15 分鐘增加維生素 D 合成，以增加鈣質吸收","不可同時使用高纖食物與高鈣食物，以避免影響鈣質吸收","A",null,[],"本題考點是骨質疏鬆症的護理指導，錯誤敘述為 A。依骨骼再塑的力學原理（Wolff 定律），骨骼會因承受重力與負荷而增加骨密度，故「負重活動」（如步行、慢跑、重量訓練）才能有效刺激成骨、強化骨骼；A 敘述「採非負重活動比負重活動好」與此原則相反，故錯誤而為答案。B 使用骨科支架可支撐脊椎、減輕疼痛與預防變形，正確；C 每日日曬至少 15 分鐘促進皮膚合成維生素 D，進而增進腸道鈣質吸收，正確；D 高纖食物中的植酸、草酸等會與鈣結合影響吸收，故避免與高鈣食物同時大量攝取，正確。","骨質疏鬆是骨質流失、骨密度下降致骨折風險上升，好發於停經後女性（雌激素減少加速蝕骨細胞活性）與老年人。預防與照護三支柱：足量鈣（成人約 1000–1200 mg\u002Fday）與維生素 D、規律的負重與阻力運動、避免跌倒。Wolff 定律說明「骨骼順應所受應力而重塑」，故負重運動優於非負重（游泳、騎車雖對心肺好，但對增加骨密度效果有限）。藥物有雙磷酸鹽（bisphosphonate，須空腹配大量開水、服後直立至少 30 分鐘以免食道潰瘍）、選擇性雌激素受體調節劑等。維生素 D 缺乏會使鈣吸收不足，故日曬與飲食補充並重。",[24,27,30,33],{"term":25,"count":26},"骨質疏鬆症",5,{"term":28,"count":29},"負重運動",3,{"term":31,"count":32},"Wolff定律",1,{"term":34,"count":32},"維生素D與鈣質吸收",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-018","右小腿上石膏病人，出現下列何項臨床表徵，需要立即給予處理？",18,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-112-3-medical-surgical-034","病人接受左肺切除術後使用胸管，下列護理措施何者最適當？",34,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-028","40 歲男性病人，入院診斷為二度燒傷，依照帕克蘭公式計算需給予 12,000 c.c. 液體復甦治療，在燒傷後的第一個 8 小時內需補充完成多少輸液？",28,113,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-114-3-medical-surgical-026","有關帶狀疱疹，下列敘述何者最適當？①感染痊癒後通常會有終生免疫力 ②避免摩擦造成水泡破裂，建議穿寬鬆柔軟衣服 ③當有神經痛症狀，可給予適當的止痛藥物 ④未患過水痘的人，應避免與帶狀疱疹病人接觸",26,114,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-106-1-medical-surgical-080","有關登革熱之敘述，下列何者錯誤？",80,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-2-medical-surgical-034","有氣喘病史的高血壓病人應避免使用下列何類藥物，以預防病人支氣管痙攣導致氣喘發作？",107,"2026-09-04",1788510747409]