[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-036":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-113-1-內外科護理學-036","nurse-113-1-medical-surgical-036",113,1,36,"有關慢性阻塞性肺疾病（COPD）病人飲食指導之敘述，下列何者較適當？①進食時可將氧氣面罩更換為氧氣套管 ②選擇易咀嚼食物 ③增加碳水化合物 ④減少水分的攝取",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","A",null,[],"本題考點在於慢性阻塞性肺疾病(COPD)的飲食指導,正解為A(①②)。進食時以鼻導管(氧氣套管)取代面罩可讓病人邊進食邊供氧、減少喘與嗆咳,①適當;選擇易咀嚼食物可降低進食耗氧與疲累,②適當。③不適當,高碳水化合物代謝會產生較多CO₂加重CO₂滯留,COPD應適度提高脂肪比例、控制碳水;④不適當,除非合併心衰竭需限水,一般COPD應維持足夠水分以稀釋痰液利排痰。","COPD飲食核心:少量多餐(避免飽脹壓迫橫膈)、高熱量高蛋白、適度脂肪(呼吸商RQ較低,產CO₂少)、避免產氣食物。進食前先休息與清痰、進食時供氧,可改善進食相關的呼吸困難。維持水分有助黏稠痰液排出,除非有體液過量禁忌。",[24,27,30,32],{"term":25,"count":26},"少量多餐",5,{"term":28,"count":29},"COPD",3,{"term":31,"count":10},"氧氣套管進食",{"term":33,"count":10},"碳水化合物與CO2",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-medical-surgical-037","有關腎臟移植過程之敘述，下列何者錯誤？",37,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-113-3-medical-surgical-033","有關病人的動脈血液氣體分析結果，下列何者應立即報告醫師？",33,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-medical-surgical-027","有關腫瘤溶解症候群之處置，下列何者錯誤？",27,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-025","有關心包膜填塞手術治療後之護理措施，下列何者最不需要？",25,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-069","有關服用甲狀腺素之敘述，下列何者正確？",69,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-medical-surgical-023","有關中心靜脈壓升高之原因，下列何者錯誤？",23,108,"2026-09-04",1788510750517]