[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-016":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-110-2-內外科護理學-016","nurse-110-2-medical-surgical-016",110,2,16,"李先生因胃癌接受全胃切除術，術後開始進食稀飯，約 30 分鐘後出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",{"A":14,"B":15,"C":16,"D":17},"胰島素分泌太少","攝入水分過多","缺少胃酸","食物快速進入腸道","D",null,[],"本題考點在於全胃切除術後傾食症候群(dumping syndrome)的成因。全胃切除後失去幽門括約肌的節制，高滲透壓食物未經緩衝即快速傾入小腸，腸腔內為稀釋高滲食糜而大量抽吸血管內水分進入腸道，造成循環血量驟減與腸道膨脹，於進食後約十五至三十分鐘出現腹脹、噁心嘔吐、心悸、頭暈、冒汗等症狀，故最可能原因為「食物快速進入腸道」D。胰島素分泌太少(A)方向錯誤，早期傾食與胰島素無關。攝入水分過多(B)非核心機轉。缺少胃酸(C)影響消化吸收但不解釋此急性症狀群。",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？",6,1783840765798]