[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-113-2-內外科護理學-010","nurse-113-2-medical-surgical-010",113,2,10,"預防全胃切除病人發生惡性貧血，可補充下列何種維生素？",{"A":14,"B":15,"C":16,"D":17},"維生素 A","維生素 B 6","維生素 B 12","維生素 K","C",null,[],"本題考點在於全胃切除後惡性貧血的機轉與補充。依生理,維生素 B12 需與胃壁細胞分泌的內在因子(intrinsic factor)結合,才能在迴腸末端吸收;全胃切除後內在因子完全缺乏,B12 無法吸收而致巨球性惡性貧血,故須終生補充 B12,選 C。A 維生素 A 與視覺、上皮有關,與此貧血無關。B 維生素 B6 缺乏造成的是小球性貧血,非全胃切除主因。D 維生素 K 參與凝血因子合成,與紅血球成熟無關。整體核心在「內在因子—B12—迴腸吸收」這條軸線。","B12 與葉酸皆為 DNA 合成所需,缺乏致巨球性(大球性)貧血並可伴神經學症狀(B12 特有的脊髓後側索退化)。全胃切除者需終生肌肉注射 B12,因口服缺內在因子難吸收。記憶:胃切除→沒內在因子→B12 卡在迴腸外→大球性貧血。",[24,27,30,33],{"term":25,"count":26},"內在因子",5,{"term":28,"count":29},"巨球性貧血",3,{"term":31,"count":32},"維生素 B12",1,{"term":34,"count":32},"迴腸末端吸收",[36,40,45,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-2-medical-surgical-011","有關骨髓炎之護理指導，下列敘述何者錯誤？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-114-1-medical-surgical-007","有關大腸癌的高危險因子，下列敘述何者正確？",7,114,{"webId":46,"stem":47,"number":32,"year":44,"session":29},"nurse-114-3-medical-surgical-001","有關癲癇病人的症狀及其治療，下列敘述何者最不適當？",{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-106-1-medical-surgical-049","有關全身性紅斑性狼瘡女性病人，於類固醇藥物治療後症狀緩解已 1 年之護理指導，下列何者錯誤？",49,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-013","有關結腸癌的危險因子，下列何者正確？①長期食用低纖維食物 ②長期食用低脂肪食物 ③排便習慣不正常 ④結腸息肉",13,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-047","下列何者為自體免疫血清反應之實驗室檢查？",47,108,"2026-09-04",1788510754944]