[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-2-內外科護理學-009","nurse-115-2-medical-surgical-009",115,2,9,"下列何者為十二指腸潰瘍病人最常見之主訴？①「吃了東西之後痛得更厲害。」 ②「疼痛很少發生在半夜。」 ③「吃了東西後，疼痛就改善多了！」 ④「半夜常常因為痛而醒來。」",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","D",null,[],"本題考點是十二指腸潰瘍與胃潰瘍疼痛型態的區辨。依病生理,十二指腸潰瘍疼痛來自胃酸排入十二指腸刺激潰瘍面,多在餐後 2 至 3 小時、胃已排空時出現,進食或服用制酸劑可中和胃酸而使疼痛緩解;夜間十二點至凌晨三點為胃酸分泌高峰且無食物緩衝,病人常因疼痛而醒,故③與④為最常見主訴,選 D。①與②則是胃潰瘍的特徵:胃潰瘍在進食後約 30 分鐘至 1 小時因食物刺激受損胃壁而更痛,夜間疼痛較少見。此對比屬內外科護理的高頻考點,兩者疼痛與進食的時間關係恰好相反。","整理成對照表最省力:十二指腸潰瘍多見於較年輕族群、胃酸分泌偏高、與幽門螺旋桿菌關聯性高、餐後 2 至 3 小時痛且進食緩解、常有夜間痛、體重多不減(因進食可緩解);胃潰瘍年齡偏長、胃酸正常或偏低、餐後 1 小時內痛、進食反而加重,病人因怕痛而少吃致體重下降,惡性變化機會也較高。治療共同軸線是抑制胃酸(質子泵抑制劑、H2 受體阻斷劑)加根除幽門螺旋桿菌的三合一療法。併發症警訊:嘔血或解黑便(出血)、突發板硬腹與反彈痛(穿孔)、頑固性嘔吐(幽門阻塞)。",[24,27,30,33],{"term":25,"count":26},"胃潰瘍",5,{"term":28,"count":29},"十二指腸潰瘍",4,{"term":31,"count":32},"胃酸分泌節律",1,{"term":34,"count":32},"疼痛與進食關係",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-010","有關食道內視鏡檢查的敘述，下列何者錯誤？",10,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-medical-surgical-056","有關病人動脈血液氣體分析結果：pH 7.30、PaCO 2 40 mmHg、HCO 3 － 18 mEq\u002FL、PaO 2 70 mmHg、 O 2 Saturation 93%之判讀，下列何者正確？",56,106,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-106-2-medical-surgical-070","低血容積與脫水的病人會出現的臨床表徵，不包括下列何者？",70,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-108-1-medical-surgical-028","下列病人描述何者不是穩定型心絞痛疼痛之典型特徵？",28,108,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-109-1-medical-surgical-072","有關執行胸外心臟按壓的敘述，下列何者正確？",72,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-2-medical-surgical-026","使用 Warfarin（Coumadin ○ R ）預防深部靜脈栓塞（deep vein thrombosis, DVT）之護理指導，下列何者正確？①需定期監測凝血酶原時間（PT） ②鼓勵多攝取銀杏、當歸 ③若出現血尿是正常的現象不需理會 ④宜使用電動刮鬍刀",26,110,"2026-08-06",1787299037020]