[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-108-1-內外科護理學-012","nurse-108-1-medical-surgical-012",108,1,12,"有關肝硬化病人服用 Lactulose 之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"預防腸道發生感染、壞死","減少氨及含氮廢物的吸收，產生輕瀉作用","降低尿液滲透壓，預防肝腎症候群的發生","降低門脈高壓，減輕腹水","B",null,[],"本題考點為Lactulose治療肝性腦病變的藥理機轉。依其作用原理，Lactulose為不可吸收的雙醣，在結腸經細菌發酵產酸使腸道酸化，將NH3轉為不易吸收的NH4+並發揮滲透性輕瀉作用，加速氨及含氮廢物排出以降低血氨，故選B。A錯，其目的非預防腸道感染壞死；C錯，作用不在降低尿液滲透壓或預防肝腎症候群；D錯，Lactulose不影響門脈壓與腹水，降門脈壓須靠乙型阻斷劑或利尿劑。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840744468]