# 護理師為三位有特定營養處方的個案檢查餐盤。將每個餐盤發現拖曳至適當的處置類別。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=zh-tw > language: zh-TW > subject: Nutrition and Oral Hydration > category: BCC ## 題目 護理師為三位有特定營養處方的個案檢查餐盤。將每個餐盤發現拖曳至適當的處置類別。 **1.** 個案 A：平滑細泥雞肉與蔬菜搭配 Level 3 中度濃稠飲品 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **2.** 個案 A：以吸管供應的稀薄水 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **3.** 個案 A：乾穀片與周圍積聚的稀薄牛奶 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **4.** 個案 B：未加鹽製備的新鮮烤雞、米飯及蒸四季豆 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **5.** 個案 B：罐頭湯搭配熟食火雞肉 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **6.** 個案 B：標示每份含 700 mg 鈉的「減鈉」主菜 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **7.** 個案 C：蘋果片、米飯及高麗菜，未加鹽替代品 Select a category Consistent with the current prescription Hold the tray item and clarify or replace **8.** 個案 C：香蕉、烤馬鈴薯及含氯化鉀的鹽替代品 Select a category Consistent with the current prescription Hold the tray item and clarify or replace ## 解析 將食物質地與液體濃稠度與吞嚥處方配對，使用實際鈉含量而非行銷用語，且僅因為此個案有高鉀血症及個別化醫囑才執行鉀離子限制。稀薄液體、混合質地、高鈉加工食品，以及富含鉀的食物或氯化鉀鹽替代品需要後續追蹤。 ## 深入解析 快速解答 檢查特定處方、質地、標籤、檢驗值及份量。 為何此為正確 平滑的 Level 4 細泥與 Level 3 飲品符合個案 A 開立的 IDDSI 等級；稀薄水及混合有積聚液體的穀片則不符合。未加鹽製備的新鮮未加工食品比罐頭湯、熟食肉品，或每份仍含 700 mg 鈉的產品更符合低鈉計畫。個案 C 的鉀離子 6.0 mEq/L 及明確的低鉀醫囑支持選擇較低鉀的食物，並避免香蕉、馬鈴薯及氯化鉀鹽替代品。 現行實務更正 沒有適用於所有腎臟病個案的單一「腎臟飲食」。鉀、蛋白質、磷、鈉及液體限制應遵循個案的階段、檢驗結果、治療及個別化處方。參考資料 1IDDSI 架構 2美國心臟協會：鈉 3國家腎臟基金會：個別化護腎餐盤 ## 臨床情境 營養安全巡房 個案 A 開立 IDDSI Level 4 細泥食物及 Level 3 中度濃稠液體的處方。個案 B 有心衰竭及低鈉處方。個案 C 有慢性腎臟病、鉀離子 6.0 mEq/L，且開立低鉀飲食計畫。 ## 重要概念 - **腎臟飲食** — 一種針對腎臟疾病和電解質管理而調整的飲食。 - **吞嚥困難飲食** — 一種為了吞嚥安全而調整質地的飲食。 - **嗜中性白血球減少症飲食** — 針對特定免疫功能低下個案，用以減少感染暴露的食品安全限制。 ## 相同主題題目 - [A 70-year-old client recovering from a left middle cerebral artery stroke has cleared an S…](https://mymerci.kr/pages/nclex_q.php?qn_id=363211&lang=zh-tw) - [A nurse is caring for an adult client receiving central venous total parenteral nutrition …](https://mymerci.kr/pages/nclex_q.php?qn_id=366131&lang=zh-tw) - [A nurse is caring for a 79-year-old client admitted from a long-term care facility with we…](https://mymerci.kr/pages/nclex_q.php?qn_id=368305&lang=zh-tw) - [Place the actions in order when a client with an acute stroke coughs during a bedside dysp…](https://mymerci.kr/pages/nclex_q.php?qn_id=395492&lang=zh-tw) - [Place the steps for starting a scheduled enteral feeding through an established gastric tu…](https://mymerci.kr/pages/nclex_q.php?qn_id=395525&lang=zh-tw) - [A client is beginning oral intake after abdominal surgery under an enhanced-recovery plan.…](https://mymerci.kr/pages/nclex_q.php?qn_id=395648&lang=zh-tw) - [A nurse is caring for an adult receiving enteral nutrition through a newly inserted small-…](https://mymerci.kr/pages/nclex_q.php?qn_id=395672&lang=zh-tw) - [Drag each caregiver statement about a toddler with acute gastroenteritis to the nurse's re…](https://mymerci.kr/pages/nclex_q.php?qn_id=396458&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_