[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-114-1-內外科護理學-011","nurse-114-1-medical-surgical-011",114,1,11,"有關痛風性關節炎護理指導之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"避免服用Aspirin，以預防血中尿酸升高","採取高脂飲食，以促進尿酸鹽排出","多喝小紅莓汁，以預防尿酸結石產生","多攝取肉汁、海鮮，以促進嘌呤代謝","A",null,[],"本題考點在於痛風性關節炎的飲食與用藥護理指導。應避免使用 Aspirin，因低劑量水楊酸會抑制尿酸經腎排出、使血中尿酸上升而誘發痛風，故選 A。（B）錯：應採低脂飲食，高脂會抑制尿酸排出並促進酮體生成，反而不利；且高熱量促進肥胖加重痛風。（C）錯：小紅莓汁主要用於預防泌尿道感染（酸化尿液），對降尿酸或防尿酸結石無實證，防尿酸結石應鹼化尿液並多喝水。（D）錯：肉汁與海鮮屬高嘌呤（purine）食物，會升高尿酸，應限制而非多攝取。核心在避高嘌呤與避免抑制尿酸排出的藥物。","痛風因尿酸過高沉積關節形成尿酸鹽結晶引發急性發炎。飲食：限高嘌呤（內臟、紅肉、海鮮、濃肉湯、酵母）、限酒（尤其啤酒）與果糖、多喝水（>2000 mL\u002F日）促排尿酸。藥物：急性期用 NSAID、colchicine、類固醇；降尿酸用 allopurinol、febuxostat（降生成）或 probenecid（促排出）。Aspirin 低劑量抑制尿酸排出應避免。防尿酸結石宜鹼化尿液，與防感染的酸化方向相反。",[24,27,29,31,33],{"term":25,"count":26},"痛風性關節炎",2,{"term":28,"count":10},"高嘌呤飲食",{"term":30,"count":10},"Aspirin與尿酸排泄",{"term":32,"count":10},"多喝水",{"term":34,"count":10},"降尿酸藥",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-012","有關肌肉骨骼系統身體檢查評估結果之敘述，下列何者正確？",12,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-114-3-medical-surgical-008","有關口腔癌病人接受根除性頸部淋巴廓清術後之照護，下列敘述何者最不適當？",8,3,{"webId":46,"stem":47,"number":26,"year":48,"session":26},"nurse-115-2-medical-surgical-002","有關阿茲海默症（Alzheimer’s disease）的病因病理，下列敘述何者正確？",115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-medical-surgical-070","低血容積與脫水的病人會出現的臨床表徵，不包括下列何者？",70,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-034","有關封閉式體內放射線治療之敘述，下列何者錯誤？",34,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-medical-surgical-068","有關糖尿病酮酸中毒（DKA）的敘述，下列何者正確？",68,109,"2026-09-04",1788510757281]