[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-011":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-110-1-內外科護理學-011","nurse-110-1-medical-surgical-011",110,1,11,"有關肝性腦病變之醫護處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"教導病人維持排便通暢","需採取高熱量高蛋白質飲食","服用鎮靜安眠藥以維持良好的睡眠狀況","使用 Lactulose 抑制細菌生長以減少產生大量的氨","A",null,[],"本題考點為肝性腦病變(hepatic encephalopathy)的醫護處置原則。依病生理,血氨升高是誘發意識障礙的關鍵,腸道細菌分解蛋白質產氨並經腸道吸收,故維持排便通暢以加速氨排出,是重要處置,選 A。選項 B 錯,急性期應『限制』蛋白質以減少產氨,而非高蛋白飲食;選項 C 錯,鎮靜安眠藥經肝代謝且抑制中樞、加重意識障礙,應避免;選項 D 錯在機轉,Lactulose 是酸化腸道、使氨轉為不易吸收的銨並促排便,而非『抑制細菌生長』,抑菌是抗生素(如 rifaximin)的角色。",[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？",6,1783840762068]