[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-063":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-111-1-內外科護理學-063","nurse-111-1-medical-surgical-063",111,1,63,"張先生 50 歲，患有糖尿病腎病變，下列治療何項錯誤？",{"A":14,"B":15,"C":16,"D":17},"鼓勵病人每天多攝取蛋白質（1.5～2.0 g\u002F天）","將糖化血色素控制在 7%以內","將血壓控制在 130\u002F80 mmHg 以內","血管收縮素轉化酶抑制劑（ACEI）可用來控制血壓","A",null,[],"本題考點在於糖尿病腎病變的飲食與血壓控制原則。腎功能受損時,蛋白質代謝產物(如尿素氮)排除困難,依營養治療原則須採「限制蛋白質」飲食,一般建議約 0.6～0.8 g\u002Fkg\u002F天以減輕腎臟過濾負擔,故 A 選項鼓勵每天攝取 1.5～2.0 g 的高蛋白反而加速腎功能惡化,屬錯誤處置,為本題答案。B 依糖尿病照護指引,糖化血色素控制在 7% 以內可延緩微血管併發症,正確。C 糖尿病合併腎病變的血壓目標為 130\u002F80 mmHg 以內,以減少蛋白尿,正確。D 血管收縮素轉化酶抑制劑(ACEI)能擴張出球小動脈、降低腎絲球內壓並減少蛋白尿,是此類病人首選降壓藥,正確。",[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？",6,1783840780028]