[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-114-3-基本護理學與護理行政-028","nurse-114-3-fundamental-nursing-028",114,3,28,"有關營養評估的生化檢驗指標，下列敘述何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"運鐵蛋白（transferrin）在腎臟製造，可作為臨床慢性營養不良的評估指標","血清白蛋白（serum albumin）可反應過去 21 天體內蛋白質代謝狀況","三酸甘油酯（triglyceride）及膽固醇（cholesterone）均為臨床常見判斷營養問題的指標","血紅素（hemoglobin）可當成身體是否缺乏鐵質或葉酸的指標","A",null,[],"本題考點在於營養評估常用生化指標的來源與臨床意義，屬反向題，須找出最不適當者。錯誤（最不適當）敘述為 A，運鐵蛋白（transferrin）是由肝臟合成而非腎臟，其半衰期較短（約 8–10 天），可反映較近期的蛋白質營養狀態，選項將合成器官寫成腎臟即為錯誤。B 血清白蛋白半衰期約 18–21 天，可反映較長期（約三週）的蛋白質代謝狀況，正確。C 三酸甘油酯與膽固醇為臨床評估脂質營養與代謝的常見指標，正確。D 血紅素偏低可提示鐵或葉酸等造血原料缺乏，正確。逐項比對後，唯 A 的合成器官敘述有誤，故為答案。","內臟蛋白指標依半衰期排序決定『反映時間窗』：前白蛋白（prealbumin，約 2–3 天）最敏感、運鐵蛋白（約 8–10 天）次之、白蛋白（約 18–21 天）反映長期。這些蛋白皆由肝臟製造，故肝功能異常會干擾判讀；發炎狀態下白蛋白、前白蛋白會下降（負向急性期反應蛋白）。記憶：『前白蛋白最快、白蛋白最慢，全部肝臟做』。營養評估須結合體位測量（BMI、皮褶）、飲食史與生化數據綜合判斷，單一指標易被發炎或水分狀態誤導。",[25,28,30,32],{"term":26,"count":27},"運鐵蛋白",1,{"term":29,"count":27},"血清白蛋白半衰期",{"term":31,"count":27},"內臟蛋白指標",{"term":33,"count":27},"營養生化評估",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-3-fundamental-nursing-029","有關鼻胃管放置及管灌餵食法的種類及選擇，下列敘述何者最不適當？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-fundamental-nursing-025","影響病人血壓下降的因素，下列何者正確？①年長者 ②過敏性休克 ③飲用紅酒 ④服用類固醇",25,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-106-1-fundamental-nursing-069","某病房有 40 床，占床率 80%，每位病人每天護理時數為 4 小時，共 16 位護理師，5 月份有 3 位護理師離職，5 月份的護理師流動率是多少？",69,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-fundamental-nursing-027","下列何者為靜脈注射部位產生浸潤的可能原因？",27,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-fundamental-nursing-071","影響護理資訊系統發展因素中，「資訊系統上線時，教育訓練不足」是下列那一類因素影響？",71,108,{"webId":61,"stem":62,"number":42,"year":63,"session":27},"nurse-110-1-fundamental-nursing-025","有關常見的用熱方式與治療目的之敘述，下列何者錯誤？",110,"2026-09-04",1788510761650]