[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-023","nurse-112-3-medical-surgical-023",112,3,23,"病人初次確診為缺鐵性貧血，醫囑須服用鐵劑，下列護理指導何者正確？",{"A":14,"B":15,"C":16,"D":17},"可以正常喝茶","鐵劑建議在兩餐之間空腹服用","服用鐵劑時可以搭配牛奶一起使用","服用鐵劑可以同時吃玉米","B",null,[],"本題考點在於口服鐵劑的吸收原理與正確給藥指導。依鐵劑吸收機轉，鐵在酸性環境且空腹時吸收最佳，故建議於兩餐之間空腹服用，選 B。判斷關鍵是「空腹＋酸性利於鐵吸收」。A 錯誤，茶葉中的單寧酸會與鐵結合降低吸收，應避免與鐵劑同服。C 錯誤，牛奶中的鈣會抑制鐵吸收，不宜與鐵劑併服。D 錯誤，玉米等含植酸與草酸的食物會妨礙鐵吸收，不宜同時食用。正確做法是搭配富含維生素 C 的食物（如柑橘類）以促進鐵吸收。","口服鐵劑衛教要點：空腹服用吸收最佳，但若腸胃不適可隨餐降低刺激；搭配維生素 C（酸性環境）促進三價鐵還原為易吸收的二價鐵；避免與制酸劑、牛奶、茶、咖啡、高纖及蛋類同服，以免螯合而降低吸收。須提醒服後糞便會變黑屬正常現象，並可能便秘。液態鐵劑宜用吸管以防染齒。鐵劑療程常需數月以補足鐵儲存量。",[24,27,30,33,35],{"term":25,"count":26},"缺鐵性貧血",8,{"term":28,"count":29},"口服鐵劑",2,{"term":31,"count":32},"空腹服用",1,{"term":34,"count":32},"維生素 C 促進吸收",{"term":36,"count":32},"單寧酸與鈣抑制吸收",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-3-medical-surgical-024","乳腺癌病人出現意識混亂、嗜睡、虛弱、心律不整、嘔吐及便秘，下列何者為其最可能發生的癌症合併症？",24,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-113-2-medical-surgical-020","有關二尖瓣狹窄之血液動力學檢查結果，下列何者錯誤？",20,113,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-114-1-medical-surgical-014","下列何者為充滿血管可以供應眼球及視網膜血液及營養的構造？",14,114,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-115-2-medical-surgical-012","有關輔具使用之敘述，下列何者錯誤？",12,115,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-107-1-medical-surgical-006","有關中風病人功能性尿失禁問題的敘述，下列何者正確？①建立讓病人有表達如廁需要的溝通方法 ②儘量包著尿布以避免因為失禁引起病人的困窘 ③應存放留置尿管以預防尿液滯留 ④白天每 2～3 小時協助病人如廁一次",6,107,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-108-1-medical-surgical-040","維生素 B 12 缺乏造成的惡性貧血，可透過下列何種試驗或檢查進行鑑別？",40,108,"2026-09-04",1788510744967]