[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-010":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-112-2-內外科護理學-010","nurse-112-2-medical-surgical-010",112,2,10,"李先生因胃癌接受次全胃切除手術（Billroth II），術後開始進食稀飯，約 20 分鐘出現腹脹、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},"食糜快速進入腸道，引起細胞內、外液電解質不平衡","高張性碳水化合物食糜進入腸道，促使 Insulin 大量分泌","細胞外液迅速移入腸道，快速液體移位減少了循環血量","高張性脂肪性食糜進入腸道，促使 Amylase 大量分泌","C",null,[],"本題考點是胃切除術後的傾食症候群（dumping syndrome）中「早期傾食」的病生理機轉。依傾食症候群機轉，Billroth II 術後失去幽門括約肌的調節，高張性食糜（尤其醣類）在進食後 15–30 分鐘快速傾入小腸，腸腔滲透壓驟升將大量細胞外液吸入腸道，導致有效循環血量下降，出現腹脹、噁心、心悸、頭暈、冒汗等血管運動症狀，故選 C。A 敘述錯誤，主要機轉是滲透性體液移位而非電解質不平衡；B 描述的胰島素大量分泌造成低血糖屬「晚期傾食」（進食後 1.5–3 小時），與本題 20 分鐘的時序不符；D 高張性脂肪與 amylase 分泌與此機轉無關，敘述錯誤。",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？",6,1783840781545]