[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":30,"lastmod":60},"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":10},"nurse-106-1-內外科護理學-009","nurse-106-1-medical-surgical-009",106,1,9,"王先生因直腸癌入院手術，醫師採用腹部會陰切除術及結腸造口術，術後 1 個月，教導王先生自我執行結腸灌洗之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"灌洗液採用 2%肥皂水效果佳","灌洗液的溫度約 37～38℃","懸掛灌洗袋時底部與肩同高","灌洗中出現腸絞痛時需暫停灌注","A",null,[],"本題考點為結腸造口灌洗的護理指導,屬找錯誤敘述題。依腸黏膜保護原則,灌洗液應使用溫開水或生理食鹽水,而2%肥皂水具刺激性、會傷害腸黏膜並引發痙攣,故A為錯誤指導。B灌洗液溫度約37至38℃接近體溫,可避免刺激腸道,正確;C懸掛灌洗袋底部與肩同高使壓力適中、水流平緩,正確;D灌洗中出現腸絞痛時應暫停灌注、待緩解再續,以免腸道受傷,正確。故僅A不當。","結腸造口灌洗目的在建立規律排便。重點:溫度近體溫、灌注壓力適中(袋底約與肩齊)、速度勿過快、絞痛即暫停、灌洗液選溫水或生理食鹽水。肥皂水雖能軟便但刺激性強,已非建議用液。灌洗宜固定時間執行以訓練腸道規律。",[24,26,28],{"term":25,"count":10},"結腸造口灌洗",{"term":27,"count":10},"灌洗液選擇",{"term":29,"count":10},"腸黏膜保護",[31,35,40,45,50,55],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-106-1-medical-surgical-010","有關消化性潰瘍常見用藥，下列何者錯誤？",10,{"webId":36,"stem":37,"number":38,"year":9,"session":39},"nurse-106-2-medical-surgical-026","懷疑病人罹患心內膜炎時，護理師最需要收集的資料，下列何者正確？",26,2,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-1-medical-surgical-040","化學治療經常是利用癌細胞不易進入細胞週期中的那一時期，以達到毒殺癌細胞的目的？",40,107,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-medical-surgical-078","有關一氧化碳中毒病人之護理措施，下列何者正確？",78,108,{"webId":51,"stem":52,"number":53,"year":54,"session":39},"nurse-109-2-medical-surgical-042","真性紅血球增多症的臨床表徵，下列何者錯誤？",42,109,{"webId":56,"stem":57,"number":58,"year":59,"session":39},"nurse-110-2-medical-surgical-076","下列何種休克病人，根據其導因應優先考慮給與水分或血品之輸注？",76,110,"2026-09-04",1788510692691]