[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-1-內外科護理學-010","nurse-113-1-medical-surgical-010",113,1,10,"有關預防傾倒症候群（dumping syndrome）的飲食建議，下列何者不適宜？",{"A":14,"B":15,"C":16,"D":17},"高醣食物","適量脂肪","高蛋白飲食","乾性食物","A",null,[],"本題考點在於預防傾倒症候群(dumping syndrome)的飲食原則,為反向題(問何者「不適宜」)。不適宜者為 A「高醣食物」——高醣(尤其精製單醣)進入小腸後造成高滲透壓,將體液大量拉入腸腔並引發胰島素過度分泌,正是誘發傾倒症候群的主因,故應避免,選 A。B 適量脂肪、C 高蛋白飲食皆為建議(以蛋白與脂肪為主熱量來源可減緩排空);D 乾性食物(用餐時不同時大量喝水、湯汁與固體分開)可延緩胃排空,亦屬正確建議。因此不適宜者為高醣,選 A。","傾倒症候群多見於胃部分切除後,因失去幽門調節,食物過快傾入小腸。早期傾倒(餐後 15–30 分):高滲食糜把體液拉入腸腔,造成腹脹、腸鳴、心悸、冒汗、頭暈;晚期傾倒(餐後 1–3 小時):大量醣快速吸收致胰島素過度分泌,造成反應性低血糖。飲食對策:高蛋白高脂、低碳水(尤其少精製糖)、少量多餐、乾濕分離(進食時不喝湯水)、餐後平躺 20–30 分減緩排空。記憶:預防傾倒=「低糖、乾食、平躺、少量多餐」,故高醣為唯一該避免的選項。",[24,27,29,31],{"term":25,"count":26},"傾倒症候群",5,{"term":28,"count":10},"高醣高滲透壓誘發",{"term":30,"count":10},"乾濕分離少量多餐",{"term":32,"count":10},"反應性低血糖",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-011","有關骨折癒合階段照護之敘述，下列何者正確？",11,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-007","有關痔瘡切除手術病人術後之護理措施，下列何者適當？",7,3,{"webId":44,"stem":45,"number":10,"year":46,"session":47},"nurse-114-2-medical-surgical-001","有關巴金森氏症（Parkinson’s disease）的主要典型症狀，下列敘述何者正確？①震顫 ②吞嚥困難 ③僵硬 ④運動遲緩 ⑤腹瀉",114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-115-2-medical-surgical-049","有關中心導管組合式照護之敘述，下列何者錯誤？",49,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-043","有關末期腎疾病（ESRD）病人之液體攝取量的估計原則，下列何者最適當？",43,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-1-medical-surgical-077","依據吳先生的症狀與徵象，所執行之立即處置，下列何者不適宜？",77,108,"2026-09-04",1788510750317]