[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-032","nurse-106-2-fundamental-nursing-032",106,2,32,"在大量灌腸過程中，病人主訴感到輕微腹痛時，護理師採用的護理措施，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"立即拔出肛管，通知醫生","停止灌腸，讓病人躺平休息","將灌腸筒提高，加快灌腸速度","暫停灌腸，等腹痛消失後再繼續","D",null,[],"本題考點是大量灌腸中出現腹痛的即時處置。灌腸時的輕微腹痛多因灌注速度過快或腸內壓力上升引發腸痙攣,依處理原則應「暫停灌腸、待不適緩解後再繼續」,並可降低灌腸筒高度、放慢速度,故選 D。A 立即拔管並通知醫生,對僅是輕微腹痛而言反應過度,尚未達須中止的程度;B 完全停止灌腸並躺平,措施過當且未解決速度問題;C 提高灌腸筒、加快速度會增大流速與腸壓,只會加劇腹痛,方向完全相反。唯有 D 兼顧安全與完成灌腸目的,是正確做法。","灌腸筒高度與液體流速、腸腔壓力成正比:一般成人灌腸筒液面高於肛門約 30～45 公分為宜,腹痛時降低高度即可減壓。腹痛屬腸壁受牽張的痙攣反應,暫停數秒讓腸道適應多可緩解。記憶對比:『痛就暫停降高度、加快提高是反向』。若出現劇痛、心悸、面色蒼白或大量血便才需真正中止並通報。",[25,28,30,32],{"term":26,"count":27},"大量灌腸",1,{"term":29,"count":27},"灌腸筒高度與流速",{"term":31,"count":27},"腸痙攣",{"term":33,"count":27},"灌腸腹痛處置",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-fundamental-nursing-033","上腸胃道出血或服用鐵劑病人之糞便顏色，下列何者正確？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-fundamental-nursing-049","有關管灌飲食的注意事項，下列敘述何者錯誤？",49,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-063","在醫院的營運成本中，下列何者屬於固定成本？①電費 ②醫療耗材 ③房屋租金 ④設備折舊 ⑤人員薪資",63,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-fundamental-nursing-021","有關藥物形式的敘述，下列何者錯誤？",21,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-1-fundamental-nursing-065","在人力資源管理體系中，設計員工行為規範可以使組織成員導向共同行為和工作習慣。成功的行為規範設計應注意幾項原則，下列何者較不適當？",65,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-fundamental-nursing-019","有關給藥醫囑常見縮寫名詞的解釋，下列何者正確？①q.i.d.與 q.4.h.的給藥時間相同 ②q.o.d.是指「每隔一天」 ③M.N. 是指「睡前」 ④O.D. 是指「右眼」 ⑤S.O.S.是指 12 小時內「如有需要給予一次」",19,111,"2026-09-04",1788510697716]