[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-009","nurse-114-1-medical-surgical-009",114,1,9,"有關胰臟炎急性發作及其治療的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"上腹部中央疼痛或輻射到背部，疼痛為突發、持續且劇烈","血清澱粉酶（amylase）升高、脂肪酶（lipase）上升、血鈣下降","放置鼻胃管的目的為抽出胰澱粉酶，以避免發炎加劇","當病情穩定可開始進食時，應採低脂肪、低蛋白、高醣飲食","C",null,[],"本題考點在於急性胰臟炎的表現與治療，屬反向題。錯誤敘述為 C：放置鼻胃管的目的並非「抽出胰澱粉酶」，而是胃腸減壓、抽出胃液以減少胃酸與食物刺激胰液分泌、緩解噁心嘔吐與腸阻脹，故選 C。（A）正確：胰臟炎典型為上腹中央持續劇痛並輻射至背部。（B）正確：血清 amylase 與 lipase 上升，且因鈣皂化沉積可致血鈣下降。（D）正確：恢復進食時採低脂、低蛋白、高醣飲食，以減少刺激胰臟分泌消化酶。鼻胃管功能被誤植為抽胰酶是本題陷阱。","急性胰臟炎因胰酶被異常活化而自我消化，常因膽石或酗酒誘發。診斷三要素：典型上腹痛輻射至背、amylase\u002Flipase 升高（lipase 較專一）、影像證據。低血鈣因脂肪壞死鈣皂化。治療原則「讓胰臟休息」：禁食、鼻胃管減壓、靜脈輸液補水電解質、止痛。鼻胃管目的是減壓與減少胰液刺激，非抽取胰酶。飲食恢復採低脂高醣以減少胰外分泌負擔。",[24,27,30,33,35],{"term":25,"count":26},"低血鈣",7,{"term":28,"count":29},"急性胰臟炎",4,{"term":31,"count":32},"低脂飲食",3,{"term":34,"count":10},"amylase與lipase",{"term":36,"count":10},"鼻胃管胃腸減壓",[38,42,46,51,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-114-1-medical-surgical-010","有關食道憩室的敘述，下列何者正確？",10,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-114-3-medical-surgical-006","有關小腸阻塞的臨床表徵與評估，下列敘述何者最適當？①劍突下可見強蠕動波 ②嘔吐物含糞便臭味 ③鈉、鉀、氯值降低 ④阻塞早期腸蠕動音消失",6,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-115-1-medical-surgical-050","有關H1N1流感之敘述，下列何者錯誤？",50,115,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-106-2-medical-surgical-068","有關腦下垂體前葉分泌之激素，不包括下列何者？",68,106,2,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-medical-surgical-032","有關高血壓病人的護理指導，下列何者最不適當？",32,108,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-109-1-medical-surgical-066","有關高滲透壓高血糖狀態（HHS）之敘述，下列何者正確？",66,109,"2026-09-04",1788510757259]