[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-112-3-內外科護理學-011","nurse-112-3-medical-surgical-011",112,3,11,"有關急性胰臟炎的處置，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"腹痛尚未改善前必須禁食","放置鼻胃管引流以抑制胰液（酵素）分泌","協助病人採取側臥彎曲膝蓋姿勢以減輕疼痛","康復期飲食應採高脂肪、高蛋白質、高醣類","D",null,[],"本題考點在於急性胰臟炎的處置原則與康復期飲食指導。本題為反向題，最不適當者為 D：急性胰臟炎康復期飲食應採低脂、適量蛋白與高醣類，因高脂肪會刺激胰液分泌與膽囊收縮素釋放，加重胰臟負擔，故「高脂肪」飲食最不適當，選 D。判斷關鍵是「胰臟炎要限脂而非高脂」。A 急性期腹痛未改善前禁食以讓胰臟休息，適當。B 放置鼻胃管引流可減少胃酸刺激胰液分泌並緩解腹脹，適當。C 側臥屈膝姿勢可放鬆腹肌、減輕胰臟區疼痛，適當。","急性胰臟炎的照護核心是「讓胰臟休息」：急性期禁食（NPO）、必要時鼻胃管減壓，以減少胰酵素分泌避免自體消化；疼痛控制常用 meperidine 或現多用其他鴉片類止痛。恢復進食採漸進式，先清流質再低脂、少量多餐，並嚴禁酒精（酒精與膽結石為兩大主因）。高脂飲食會經膽囊收縮素強力刺激胰腺分泌，是誘發復發與疼痛的關鍵，須避免。",[24,27,29,32],{"term":25,"count":26},"急性胰臟炎",4,{"term":28,"count":10},"低脂飲食",{"term":30,"count":31},"鼻胃管減壓",1,{"term":33,"count":31},"胰臟休息",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-medical-surgical-012","下列何者為診斷骨髓炎最準確的方法？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-medical-surgical-008","有關全腸道外營養療法（TPN）常見的併發症，下列何者錯誤？",8,113,2,{"webId":46,"stem":47,"number":44,"year":48,"session":31},"nurse-114-1-medical-surgical-002","多發性硬化症病人之日常活動護理指導，下列敘述何者正確？",114,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-115-1-medical-surgical-050","有關H1N1流感之敘述，下列何者錯誤？",50,115,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-106-2-medical-surgical-074","有關促進中毒物質排出之方法，不包括下列何者？",74,106,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-108-1-medical-surgical-028","下列病人描述何者不是穩定型心絞痛疼痛之典型特徵？",28,108,"2026-09-04",1788510744848]