[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-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-114-1-內外科護理學-010","nurse-114-1-medical-surgical-010",114,1,10,"有關食道憩室的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常見胸口灼熱感症狀","可做鋇劑食道攝影確定位置","餐後平躺可減緩不適","一旦發生須儘速以手術治療","B",null,[],"本題考點在於食道憩室（esophageal diverticulum）的診斷方法。食道憩室可藉鋇劑食道攝影（barium swallow）顯影確定憩室位置與大小，為首選診斷工具，選 B。（A）錯：胸口灼熱感是胃食道逆流的典型症狀，食道憩室主要症狀為吞嚥困難、食物滯留、口臭與逆流未消化食物，非灼熱感。（C）錯：餐後平躺反而使滯留食物易逆流誤吸，應採直立並飲水沖淨憩室囊內殘食。（D）錯：食道憩室不必然一發生就手術，多視症狀嚴重度處理，較大或症狀明顯者才考慮手術（如憩室切除、環咽肌切開）。","食道憩室（如 Zenker 憩室位於咽食道交界）為食道壁囊袋狀外突，食物滯留其中造成吞嚥困難、口臭、夜間逆流未消化食物與吸入性肺炎風險。診斷首選鋇劑攝影（內視鏡有穿孔風險須小心）。護理重點：進食後保持直立、少量多餐、飲水清潔憩室、預防吸入。治療視症狀，明顯者行手術。與 GERD 的灼熱感、與食道弛緩不能的鑑別是常考點。",[24,27,30,33],{"term":25,"count":26},"吸入性肺炎預防",4,{"term":28,"count":29},"吞嚥困難",3,{"term":31,"count":32},"食道憩室",2,{"term":34,"count":10},"鋇劑食道攝影",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-011","有關痛風性關節炎護理指導之敘述，下列何者正確？",11,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-114-3-medical-surgical-007","有關胃食道逆流之護理指導，下列敘述何者最適當？①採床頭抬高的姿勢睡覺 ②穿緊身衣防止胃內容物逆流 ③進食後需躺平休息 ④避免提重物或彎腰運動",7,{"webId":45,"stem":46,"number":10,"year":47,"session":32},"nurse-115-2-medical-surgical-001","腦下垂體腫瘤病人接受經蝶骨腫瘤切除術後第 4 天，持續有流鼻水、頭痛現象，下列處置之敘述何者正確？",115,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-106-2-medical-surgical-069","下列何者不是肢端肥大症之症狀？",69,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-033","放射線治療對下列何類細胞的治療效果較差？",33,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-medical-surgical-067","有關糖尿病的藥物治療之敘述，下列何者正確？",67,109,"2026-09-04",1788510757264]