[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-022","nurse-114-1-medical-surgical-022",114,1,22,"顆粒性白血球低下的癌症病人之食物選擇，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"溏心蛋：補充單白質","泡菜：補充纖維質防便秘","柑橘：補充維生素C","優格：補充鈣質、維生素","C",null,[],"本題考點在於顆粒性白血球低下病人的飲食選擇原則。依嗜中性球低下者的低菌飲食原則，免疫低下時應避免生食、發酵食品與含活菌製品，以免食入病原造成感染。A溏心蛋為半熟蛋、B泡菜屬生醃發酵物、D優格含活性益生菌，皆有微生物污染風險而不宜。C柑橘為具厚皮的水果，可剝除外皮後食用、污染風險相對低，又能補充維生素C，故最適切，為本題答案。","顆粒性白血球（嗜中性球）是抵禦細菌與黴菌的第一線，低下時採neutropenic diet（低菌飲食）。可去皮的完整水果因外皮阻隔可安全食用，而莓果、生菜、未削皮水果、生蛋、未滅菌乳品與發酵食品則列為禁忌。原則不在營養素種類，而在「能否有效降低食源性微生物暴露」，判題時先問這口食物乾不乾淨。",[24,27,29,31],{"term":25,"count":26},"嗜中性球低下",2,{"term":28,"count":10},"低菌飲食",{"term":30,"count":10},"免疫低下感染預防",{"term":32,"count":10},"生食禁忌",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-023","中樞神經系統癌症病人，若選用難以通過血腦障壁之化學治療時，下列何者為最適切之給藥途徑？ ①Port-A   ②Ommaya reservoir   ③Hickman catheter   ④intrathecal injection",23,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-019","針對正在接受化學治療病人的護理指導，下列敘述何者最不適當？",19,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-medical-surgical-013","有關病人接受白內障手術後 1 個月內之護理指導，下列何者不適當？",13,115,{"webId":49,"stem":50,"number":10,"year":51,"session":10},"nurse-107-1-medical-surgical-001","有關小腦病變之評估結果，下列何者錯誤？",107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-1-medical-surgical-045","有關生殖器疱疹的敘述，下列何者錯誤？",45,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-1-medical-surgical-079","當支氣管擴張症病人出現下列何種狀況需盡速就醫？",79,109,"2026-09-04",1788510757368]