[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-107-2-內外科護理學-074","nurse-107-2-medical-surgical-074",107,2,74,"有關長期服用 prednisolone 的護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"在飯後服用或合併制酸劑使用","鼓勵採高蛋白、高醣及高鉀飲食","遭遇重大壓力時，應告知醫師調整劑量","告知病情穩定後，可依醫囑漸進式停藥","B",null,[],"本題考點在長期使用類固醇(prednisolone)的飲食與用藥衛教。依藥理作用,類固醇會促進醣質新生而升高血糖,故飲食應限制精緻糖與高醣,鼓勵『高醣』飲食並不恰當,錯誤者選 B。選項 A 正確,飯後服用或併用制酸劑可減少胃腸道刺激與潰瘍出血;選項 C 正確,重大壓力(手術、感染)時因外源性類固醇抑制自身腎上腺,需告知醫師增加劑量以避免腎上腺危象;選項 D 正確,病情穩定後須遵醫囑漸進式減量停藥,不可驟停以防腎上腺功能不足。故 B 的高醣建議與類固醇致高血糖的作用相牴觸。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840751402]