[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-041","nurse-112-3-medical-surgical-041",112,3,41,"腎衰竭病人的飲食護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"採取高熱量低蛋白的飲食，主要是維持適當血糖穩定","低蛋白應採用低生物價值蛋白質來攝取必需胺基酸","降低腎臟代謝負擔，故避免蛋白質成為熱量主要來源","採全靜脈營養時，僅需要以脂肪為主取代蛋白質即可","C",null,[],"本題考點在於腎衰竭病人的飲食護理原則。C為降低腎臟代謝含氮廢物的負擔,應避免讓蛋白質成為熱量的主要來源,故須給予足夠熱量以節省蛋白質分解,正確。A錯在高熱量低蛋白飲食主要目的是節省蛋白質(避免組織分解產生含氮廢物),而非維持血糖穩定。B錯在低蛋白飲食應採高生物價值蛋白質(如蛋、奶、瘦肉)以提供必需胺基酸。D錯在全靜脈營養不能僅以脂肪取代蛋白質,仍需適量胺基酸與均衡營養。故選C。","腎衰竭飲食核心:足夠熱量以「節省蛋白質」、限制蛋白質減少尿毒素,並依透析與否調整;限鉀、限磷、限鈉與適當限水亦為重點。生物價值高的蛋白質含較完整必需胺基酸、產生較少含氮廢物,故優於低生物價值蛋白質。",[24,27,29,31],{"term":25,"count":26},"腎衰竭飲食",1,{"term":28,"count":26},"低蛋白高熱量",{"term":30,"count":26},"高生物價值蛋白質",{"term":32,"count":26},"節省蛋白質原則",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-042","有關腎臟移植發生排斥時的主要處置，下列敘述何者錯誤？",42,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-038","有關全髖關節置換術術後病人之陳述，下列何者顯示需要進一步的護理指導？",38,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-medical-surgical-032","病人因車禍送到急診，身體評估出現下列何者時，應懷疑可能有氣胸？",32,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-medical-surgical-030","異位性皮膚炎病人血液中會出現下列何種免疫球蛋白升高？",30,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-medical-surgical-024","下列何者不是接受扁桃腺切除術之禁忌？",24,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-medical-surgical-058","慢性阻塞性肺部疾病病人最早出現的肺功能變化為下列何者？",58,108,"2026-09-04",1788510745129]