[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-fundamental-nursing-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-112-3-基本護理學與護理行政-027","nurse-112-3-fundamental-nursing-027",112,3,27,"病人長期臥床易導致的營養與代謝改變，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"甲狀腺素及腎上腺素分泌增加，使得病人基礎代謝率降低","由於活動減少使病人腸蠕動變慢，消化液分泌變多，導致食慾變差","新陳代謝速率增加，對氧需求量增加，導致傷口癒合不好","體內蛋白質分解的速率大於合成速率，造成負氮平衡","D",null,[],"本題考點在於長期臥床的營養與代謝改變。依蛋白質代謝原理，臥床活動減少使肌肉分解增加、合成減少，蛋白質分解速率大於合成，導致負氮平衡，故 D 正確。A 錯在臥床時基礎代謝率通常下降，但其原因並非甲狀腺素與腎上腺素分泌「增加」，敘述前後矛盾；B 錯在活動減少使腸蠕動變慢、消化液分泌「減少」而非增多，導致食慾與便秘問題；C 錯在臥床新陳代謝率多為「下降」而非增加，敘述方向相反。故唯 D 符合。","負氮平衡指氮的排出（蛋白質分解產物）大於攝入，是臥床、創傷、感染、飢餓等分解代謝狀態的共同特徵，臨床表現為肌肉消耗、低白蛋白、傷口癒合不良。對照正氮平衡見於生長、懷孕、組織修復期。臥床照護重點是足量蛋白質與熱量攝取、搭配活動以減緩肌肉分解。",[25,28,30,32],{"term":26,"count":27},"負氮平衡",1,{"term":29,"count":27},"蛋白質分解>合成",{"term":31,"count":27},"臥床基礎代謝率下降",{"term":33,"count":27},"腸蠕動減慢",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-3-fundamental-nursing-028","病人大部分時間平躺在床，下列那些是病人最容易發生壓力性損傷的部位？①枕骨 ②薦骨 ③肩峰突 ④股骨粗隆",28,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-fundamental-nursing-024","長期服用毛地黃的病人，胸悶覺得全身無力到急診求治，護理師進行心跳評估，下列敘述何者錯誤？",24,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-114-1-fundamental-nursing-018","有關冷療的應用，下列何者正確？ ①濕冷敷較乾冷的穿透力佳，對組織的傷害亦較小        ②冰袋及冰枕，不能直接用於皮膚    ③冰領適用於甲狀腺術後的止痛與止血       ④臨床上低溫毯用於心臟手術病人的目的是促進新陳代謝率",18,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-fundamental-nursing-016","當輸液套未妥善排氣，導致空氣進入病人體內可能危及病人生命，下列何者不是空氣栓塞的症狀？",16,115,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-107-1-fundamental-nursing-010","有關促進護病溝通的技巧，下列何者正確？",10,107,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-108-1-fundamental-nursing-044","下列何項比較不會影響吳太太睡眠狀況？",44,108,"2026-09-04",1788510744546]