[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":10},"nurse-114-2-內外科護理學-036","nurse-114-2-medical-surgical-036",114,2,36,"有關慢性阻塞性肺疾病（COPD）病人之護理指導，下列何者最為適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵餐前走路半小時","增加醣類的攝取量","採取少量多餐","給予高流量氧氣以改善心肺功能","C",null,[],"本題考點在於 COPD 病人的營養與氧氣照護原則。依 COPD 病人橫膈受壓、易腹脹且進食易喘的特性,採少量多餐可減少一次進食量、避免胃部脹大壓迫橫膈,兼顧熱量攝取又不誘發呼吸困難,故選 C。A 錯在餐前劇烈走路半小時會使原本已喘的病人更耗氧、易疲累影響進食。B 錯在醣類代謝產生的 CO₂ 量最高,會加重 CO₂ 滯留與呼吸負擔,應提高脂肪比例而非增加醣類。D 錯在 COPD 慢性 CO₂ 滯留者靠低血氧驅動呼吸,高流量氧氣會抑制呼吸中樞造成 CO₂ 麻醉,應採低流量 1–2 L\u002Fmin 給氧。","COPD 給氧核心在「缺氧驅動」機轉:長期高碳酸血症使中樞對 CO₂ 反應鈍化,改由頸動脈體的低氧來驅動呼吸,故 SpO₂ 目標控制在 88–92% 即可。營養上記「高脂、適蛋白、低醣」——呼吸商 RQ 醣類 1.0、脂肪 0.7,脂肪產 CO₂ 最少。少量多餐同時降低用餐耗氧與飽脹感。",[24,26,28,31,33],{"term":25,"count":10},"低流量氧氣",{"term":27,"count":10},"呼吸商 RQ",{"term":29,"count":30},"COPD 營養原則",1,{"term":32,"count":30},"缺氧呼吸驅動",{"term":34,"count":30},"橫膈壓迫",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-medical-surgical-037","有關尿液檢查之敘述，下列何者錯誤？",37,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-115-1-medical-surgical-033","王先生使用呼吸器，突然呼吸器出現壓力過高警報，下列何者為可能的原因？",33,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-medical-surgical-027","有關病人接受經皮穿腔冠狀動脈血管成形術（PTCA）處置之敘述，下列何者錯誤？",27,106,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-107-1-medical-surgical-065","有關早期慢性腎臟病病人服用血管收縮素轉化酶抑制劑（Angiotensin Converting Enzyme Inhibitors, ACEI）之敘述，下列何者錯誤？",65,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-2-medical-surgical-029","有關骨掃描的敘述，下列何者正確？",29,108,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-2-medical-surgical-063","有關腎病症候群病人之診斷性檢查之典型發現，下列何者正確？①血尿 ②菌尿 ③蛋白尿 ④血清白蛋白濃度下降 ⑤血糖上升 ⑥血清膽固醇上升 ⑦血清三酸甘油酯上升 ⑧血清鈣上升",63,109,"2026-09-04",1788510759793]