# 護理師教導一位新診斷為乳糜瀉的個案如何在家中避免麩質暴露。下列哪一項陳述顯示正確的理解？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: BCC

## 題目

護理師教導一位新診斷為乳糜瀉的個案如何在家中避免麩質暴露。下列哪一項陳述顯示正確的理解？

## 選項

1. 當我避開用小麥製作的麵包和穀片時，我可以吃大麥和黑麥製品
2. 我會根據吃完每一份食物後的感覺來選擇食物
3. 如果我先刷掉可見的碎屑，我可以共用一台烤麵包機
4. 我會使用獨立的烤麵包機，並保護無麩質食物不接觸共用的碎屑 **✔ 正確答案**

**正確答案: 4**

## 解析

乳糜瀉需要避免小麥、大麥和黑麥，以及麩質交叉接觸。獨立的烤麵包機和受保護的食物準備區域可減少接觸可能引發腸道免疫損傷的碎屑。

## 深入解析

快速解答
將產生碎屑的設備分開，並保護無麩質食物免於交叉接觸。

為什麼這是正確的
即使是來自共用表面或器具的少量麩質，也可能使乳糜瀉患者暴露。專用或徹底受保護的設備有助於防止無麩質食物接觸到小麥、大麥或黑麥殘留物。

簡單比喻或心智圖像
麩質交叉接觸就像一滴染料擴散到清水中；微量的轉移就可能改變整份食物。這個比喻強調預防，但並未量化個人的暴露量或反應。

記憶掛鉤
乳糜瀉安全意味著避免小麥、大麥、黑麥和共用的碎屑。

NCLEX 決策規則
在乳糜瀉的教導中，需同時評估食材選擇和準備方式。沒有症狀並不證明安全，而清除可見碎屑可能無法防止交叉接觸。

為什麼其他選項是錯的
大麥含有麩質。症狀並非腸道損傷的可靠指標，而刷洗共用烤麵包機並不能可靠地去除含麩質的殘留物。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]Eating, Diet, and Nutrition for Celiac DiseaseNational Institute of Diabetes and Digestive and Kidney Diseases

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