[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-115-2-基本護理學與護理行政-029","nurse-115-2-fundamental-nursing-029",115,2,29,"成年病人因中風導致右側肢體癱瘓，住院接受復健治療。護理師為制定適當的飲食計畫，營養評估的資料收集範圍，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"飲食資料：24 小時飲食回顧紀錄","體位測量：身高、體重、身體質量指數","生化檢驗指標：血紅素、白蛋白、運鐵蛋白","影像檢查報告：腹部 X 光","D",null,[],"本題考點是營養評估的資料收集架構,即 ABCD 四面向:Anthropometric 體位測量、Biochemical 生化檢驗、Clinical 臨床評估與病史、Dietary 飲食史。24 小時飲食回顧紀錄屬 Dietary,身高、體重與身體質量指數屬 Anthropometric,血紅素、白蛋白與運鐵蛋白則是反映蛋白質與鐵營養狀態的 Biochemical 指標,三者都落在營養評估範圍內。腹部 X 光的用途是觀察腸道氣體分布、阻塞與異物,提供的是解剖與腸道通暢資訊,並非營養狀態的評估依據,不屬營養評估常規收集項目,故 D 為錯誤,選 D。","生化指標要連結半衰期才好用:白蛋白半衰期約 18–20 天,反映的是較長期的蛋白質營養狀態,且會被發炎、肝病與水分狀態干擾;運鐵蛋白半衰期約 8–10 天,前白蛋白僅 2–3 天,愈短愈能反映近期變化,這是臨床上分層使用的理由。中風右側肢體癱瘓的病人,飲食計畫另一個評估重心是吞嚥功能與嗆咳風險,對應的檢查是吞嚥攝影或內視鏡吞嚥評估,而不是腹部 X 光——此題的錯項正是用「看起來很醫療」的影像檢查混淆考生。記憶口訣直接背 ABCD 四個字母,遇到選項時先問「這筆資料能不能推論營養狀態」,不能就不屬營養評估。",[25,28,30,32,34],{"term":26,"count":27},"營養評估 ABCD 架構",1,{"term":29,"count":27},"體位測量",{"term":31,"count":27},"生化營養指標",{"term":33,"count":27},"24 小時飲食回顧",{"term":35,"count":27},"白蛋白",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-2-fundamental-nursing-030","有關中央靜脈營養療法，下列敘述何者錯誤？",30,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-106-1-fundamental-nursing-076","柏拉圖（Pareto）原理為品質管理的方法之一，下列敘述何者錯誤？",76,106,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-107-1-fundamental-nursing-010","有關促進護病溝通的技巧，下列何者正確？",10,107,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-108-1-fundamental-nursing-048","有關繃帶與束帶的敘述，下列何者錯誤？",48,108,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-2-fundamental-nursing-012","沾到病人血液的傷口紗布，應依下列何種廢棄物規定處理？",12,109,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-110-2-fundamental-nursing-046","關於脈搏的特性或測量之敘述，下列何者正確？",46,110,"2026-08-06",1787299031758]