[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-114-1-內外科護理學-006","nurse-114-1-medical-surgical-006",114,1,6,"有關胃食道逆流症的護理指導，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"進食後應立即平躺","避免在睡前2～3小時進食","少量多餐細嚼慢嚥","肥胖的病人應減重","A",null,[],"本題考點在於胃食道逆流症（GERD）的護理指導，屬反向題。錯誤敘述為 A：進食後應立即平躺——平躺會使胃內容物更易逆流回食道，正確做法應是餐後維持直立至少 1–2 小時、睡覺時抬高床頭，故選 A。（B）正確：睡前 2～3 小時避免進食可減少夜間逆流。（C）正確：少量多餐、細嚼慢嚥能降低胃內壓力、減少逆流。（D）正確：肥胖使腹壓上升促進逆流，減重有助改善症狀。因此四者中唯有「餐後立即平躺」違反重力與抗逆流原則。","GERD 因下食道括約肌（LES）鬆弛使胃酸逆流。生活型態衛教：餐後維持直立、抬高床頭 15–20 公分、睡前 3 小時勿進食、少量多餐、減重、戒菸酒、避免咖啡因、巧克力、高脂與薄荷（皆降低 LES 張力）、避免緊身衣物與彎腰。藥物用制酸劑、H2 阻斷劑、質子幫浦抑制劑（PPI）。核心邏輯：利用重力與降低腹壓對抗逆流。",[24,27,30,32,34],{"term":25,"count":26},"下食道括約肌",4,{"term":28,"count":29},"抬高床頭",3,{"term":31,"count":10},"胃食道逆流症",{"term":33,"count":10},"餐後姿勢",{"term":35,"count":10},"減重",[37,41,44,49,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"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,{"webId":42,"stem":43,"number":29,"year":9,"session":29},"nurse-114-3-medical-surgical-003","有關阿茲海默症的早期臨床表徵，下列敘述何者正確？①對人和周遭發生的事件興趣降低 ②無法進行簡單的計算 ③學習新事物之能力降低 ④工作表現變差 ⑤夜間活動增加",{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-115-1-medical-surgical-047","有關過敏性休克之敘述，下列何者正確？①接觸的過敏原可能來自藥物、食物、昆蟲叮咬等              ②發生嚴重支氣管擴張及呼吸困難           ③脈搏次數增快、血壓可能正常或降低   ④通常可立即注射 epinephrine改善情況",47,115,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-106-2-medical-surgical-065","有關甲狀腺機能亢進病人服用碘製劑之注意事項，下列何者正確？",65,106,2,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-1-medical-surgical-029","能降低冠狀動脈疾病病人心肌耗氧量的藥物，下列何者錯誤？",29,108,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-1-medical-surgical-063","體液容積不足時之臨床表徵，下列何者正確？①口渴 ②體溫上升 ③尿比重下降 ④血比容積升高",63,109,"2026-09-04",1788510757225]