[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"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-017","nurse-114-3-medical-surgical-017",114,3,17,"58 歲中年婦女，平日血壓約為 138\u002F88 mmHg，沒有糖尿病與其他心血管疾病，BMI 為 30 kg\u002Fm 2 ，飲食偏好重油滷肉類食物，沒有抽菸與喝酒習慣，日常活動多為家務勞動，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"控制熱量的攝取","限制高鈉食物的攝取","每天至少 30 分鐘的中等強度運動","積極使用藥物來控制血壓","D",null,[],"本題考點在於高血壓前期合併肥胖者的處置優先順序,本題為反向題,問「最不適當」者。考點在於分期與介入策略:此婦女血壓約 138\u002F88 mmHg、無糖尿病與心血管共病、BMI 30 屬肥胖,依高血壓處置原則應先以生活型態調整為主,而非一開始就積極用藥,故『積極使用藥物來控制血壓』最不適當,選 D。A 控制熱量攝取有助減重,正確。B 限制高鈉食物可降血壓,正確。C 每天至少 30 分鐘中等強度運動,符合建議,正確。三者皆為第一線非藥物介入,唯 D 越級主張積極藥物,因此最不適當。","此血壓落在正常高值至第一期邊緣區間,加上肥胖與高油飲食,首要介入是生活型態修正:減重、得舒(DASH)飲食、限鈉、規律有氧運動、限酒與戒菸。此類低整體風險者,通常先觀察並落實非藥物措施數月,若仍未達標或風險升高才加藥。過早積極用藥忽略了風險分層與生活型態優先原則。記憶:輕度且低風險,『先改生活,再談吃藥』。",[24,27,29],{"term":25,"count":26},"高血壓分期與風險分層",1,{"term":28,"count":26},"生活型態調整優先",{"term":30,"count":26},"得舒飲食與限鈉",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-018","病人因身體多處不明原因出血進行骨髓抽吸檢查，下列敘述何者最適當？①檢查目的在了解骨髓組織、造血組織是否正常 ②可診斷是否為白血病 ③大多由脛骨進行抽取 ④大多需全身麻醉進行",18,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-014","有關使用耳滴劑的注意事項，下列何者正確？①使用前搖動藥水使其均勻 ②躺向健側使患耳朝上 ③滴耳藥前要先滴生理食鹽水 ④滴藥後以棉棒擦拭耳內多餘藥水",14,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-058","評估呼吸道阻塞嚴重度的指標，下列何者最重要？",58,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-016","有關急性胰臟炎之敘述，下列何者正確？①最常見的病因為膽石症及酒精 ②血清澱粉酶（amylase）及鈣（calcium）上升 ③出血性胰臟炎會出現 Rovsing sign ④ 會造成電解質及酸鹼不平衡",16,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-060","教導慢性阻塞性肺疾病病人採用橫膈式呼吸之預期效果，下列何者正確？",60,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-014","下列何者不是結腸癌的典型臨床表徵？",110,"2026-09-04",1788510761990]