[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-114-3-內外科護理學-007","nurse-114-3-medical-surgical-007",114,3,7,"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",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②④","③④","B",null,[],"本題考點在於胃食道逆流(GERD)的護理指導。考點在於減少腹壓與防止胃內容物逆流:①睡覺採床頭抬高,利用重力減少夜間逆流;④避免提重物或彎腰,以免腹壓升高把胃內容物擠回食道,故正確組合為①④,選 B。②穿緊身衣錯誤,緊身衣增加腹內壓反而促進逆流,應穿寬鬆衣物。③進食後躺平休息錯誤,平躺使胃酸易逆流,應維持直立並於睡前 2 至 3 小時避免進食。含②或③的 A、C、D 皆不當,唯①④正確。","GERD 因下食道括約肌張力不足或鬆弛,使胃酸逆流刺激食道黏膜。非藥物處置核心是降低腹壓與善用重力:床頭抬高 15 至 30 公分、餐後保持直立、少量多餐、避免高脂與咖啡因、戒菸酒、控制體重、避免緊身衣與彎腰。藥物則用制酸劑、H2 阻斷劑或質子幫浦抑制劑。記憶:對抗逆流就是『抬高、不壓肚、不躺平』。",[24,27,29],{"term":25,"count":26},"下食道括約肌",4,{"term":28,"count":10},"胃食道逆流 GERD",{"term":30,"count":31},"降低腹內壓與床頭抬高",1,[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"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,{"webId":38,"stem":39,"number":26,"year":40,"session":41},"nurse-115-2-medical-surgical-004","有關以格拉斯哥昏迷量表（GCS）測量病人意識程度變化之敘述，下列何者正確？",115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":31},"nurse-106-1-medical-surgical-048","病人手部有尺側偏斜及近端指關節過度伸展變形，下列何者為其最可能之診斷？",48,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-006","病人的血壓值為 150\u002F90 mmHg，顱內壓為 15 mmHg，其腦組織灌流壓（CPP）下列何者正確？",6,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-050","評估右下肺葉時叩診出現濁音及聽診時呼吸音減弱，胸部 X 光檢查結果右側肋膜橫膈角呈鈍角，下列何者為病人最可能之診斷？",50,108,{"webId":58,"stem":59,"number":26,"year":60,"session":31},"nurse-110-1-medical-surgical-004","因車禍造成左側胸椎第 6 節受傷的病人，出現脊髓半側截斷症候群，下列敘述何者正確？",110,"2026-09-04",1788510761896]