[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-106-2-基本護理學與護理行政-014","nurse-106-2-fundamental-nursing-014",106,2,14,"病人術後第一天 24 小時輸入輸出量紀錄為大量點滴輸入 1200 mL，小便 1500 mL，傷口引流液 550 mL，鼻胃管引流液 550 mL，輸血 200 mL，下列護理處置何者最適宜？",{"A":15,"B":16,"C":17,"D":18},"停止鼻胃管引流，開始由口進食","繼續觀察 1 至 2 天","需報告醫師處理","先給予限水，並調慢點滴流速","C",null,[],"本題考點為術後輸入輸出量（I\u002FO）的判讀與適當處置。計算輸入等於點滴 1200 加輸血 200，共 1400 mL；輸出等於小便 1500 加傷口引流 550 加鼻胃管引流 550，共 2600 mL，呈明顯負平衡（約負 1200 mL）且總輸出量偏高，提示體液不足風險，須報告醫師評估補液，故選 C。A 停鼻胃管改由口進食缺乏醫囑依據且未處理失衡；B 僅繼續觀察 1 至 2 天恐延誤處置；D 自行限水並調慢點滴會加重負平衡與脫水，方向錯誤。故正確處置為報告醫師。","I\u002FO 平衡評估：正常成人每日尿量約 1 至 1.5 公升，尿量低於 30 mL\u002Fhr 提示灌流不足。本題輸出遠大於輸入且含大量引流，須警覺低血容休克風險；護理判斷指向通報醫師調整補液，屬需醫囑配合的非獨立性處置。",[25,28,30,32],{"term":26,"count":27},"輸入輸出量",1,{"term":29,"count":27},"體液負平衡",{"term":31,"count":27},"報告醫師",{"term":33,"count":27},"低血容",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-fundamental-nursing-015","有關用藥劑量的觀念，下列何者正確？",15,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-fundamental-nursing-031","下列何者為腸阻塞個案灌腸時較適當的姿勢？",31,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-045","每次灌食前，必須反抽胃內溶液之主要目的是在預防灌食造成下列何種情況？",45,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-fundamental-nursing-003","醫療院所為滿足病人安全的需求，下列措施何者正確？①定期舉辦火災防災演練 ②嚴格限制訪客 ③公共空間放置乾洗手液 ④利用條碼技術（barcode）給藥 ⑤地板定時清潔打蠟",3,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-1-fundamental-nursing-047","在鼻胃管灌食中，有關食物快灌完時，要再灌入少量溫開水的主要目的，下列敘述何者正確？",47,110,{"webId":59,"stem":60,"number":27,"year":61,"session":11},"nurse-111-2-fundamental-nursing-001","有關健康與疾病觀點的敘述，下列何者錯誤？",111,"2026-09-04",1788510697422]