[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"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-106-1-精神科與社區衛生護理學-078","nurse-106-1-psychiatric-community-078",106,1,78,"下列那些情況可能使高血壓病人血壓突然上升？①體表溫差過大 ②用力排便 ③夜間上廁所 ④抬腿運動",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②③","②④","A",null,[],"本題考點是哪些情境會使高血壓病人血壓突然上升。分析各項:①體表溫差過大(如寒冷刺激)會引發交感神經興奮、周邊血管收縮,使血壓驟升。②用力排便屬 Valsalva 動作,閉氣用力使胸腔內壓上升,解除瞬間回心血量與血壓可劇烈波動,是心血管高風險動作。故①②皆會使血壓上升,選 A。③夜間上廁所時由臥而起,通常伴隨姿位改變,較易發生的是姿勢性低血壓而非血壓驟升,不符合題意。④抬腿運動屬和緩肢體活動,不會造成血壓突然飆高。B、C、D 之所以錯,都因納入了③或④這兩個不會引起血壓驟升的項目。","機轉對比:寒冷→交感興奮、α受體介導血管收縮→後負荷與血壓上升;Valsalva 動作分四期,用力閉氣期與解除期血壓大幅擺盪,對高血壓、心臟病人風險高,故衛教常提醒避免用力排便(可搭配軟便、足夠水分與纖維)。姿位由臥到站則相反,重力使回心血量下降,易致姿勢性低血壓。判題訣竅:找「交感興奮或閉氣用力」者即會升壓。",[24,27,29,31],{"term":25,"count":26},"姿勢性低血壓",2,{"term":28,"count":10},"交感神經興奮",{"term":30,"count":10},"Valsalva動作",{"term":32,"count":10},"寒冷血管收縮",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-079","社區衛生護理師對糖尿病民眾的運動指導，下列何者正確？①以有氧運動最佳 ②如想要減重，則需每星期達到 120 分鐘的運動 ③必須從事高強度的運動，才能達到減重效果 ④晨起運動者，宜先進食部分食物",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-psychiatric-community-015","劉先生，20 歲，因車禍頭部外傷而送入加護病房，出現躁動不安、胡言亂語、高聲喊叫，並有自行拔管情形。依據劉先生所呈現的症狀情形，最可能是下列那項病症？",15,107,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-107-2-psychiatric-community-029","照護李太太時，所採行之護理措施，下列何者較適當？",29,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-067","承上題，王護理師要了解張太太子宮頸癌追蹤檢查情形，下列那種處置最合宜？",67,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-2-psychiatric-community-031","針對阿茲海默氏症引起重度認知障礙症的敘述，下列何者最適當？",31,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-111-2-psychiatric-community-065","林先生與父親、太太和二位幼稚園女兒同住。請問林家是屬於何種家庭類型？",65,111,"2026-09-04",1788510695453]