[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-038":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-038","nurse-106-2-fundamental-nursing-038",106,2,38,"使用下列何種藥物易導致便秘的問題？①長期使用抗生素 ②含鎂制酸劑 ③鐵劑 ④抗膽鹼激素藥物（如：Atropine） ⑤麻醉性止痛劑（如：Morphine）",{"A":15,"B":16,"C":17,"D":18},"①②③","①②④","①③⑤","③④⑤","D",null,[],"本題考點是易致便秘的藥物辨識。依藥理作用,鐵劑(③)使腸內容物變硬並延緩蠕動、抗膽鹼藥 Atropine(④)阻斷副交感而抑制腸蠕動、麻醉性止痛劑 Morphine(⑤)作用於腸道鴉片受體降低推進性蠕動,三者皆致便秘,故選 D(③④⑤)。反觀①長期使用抗生素會破壞腸道正常菌叢、常導致「腹瀉」而非便秘;②含鎂制酸劑因鎂離子有滲透性輕瀉作用,亦造成「腹瀉」。故凡含①或②的 A、B、C 皆不對。關鍵在區分「抑制蠕動致秘」與「刺激或滲透致瀉」兩類藥物。","制酸劑口訣『含鎂拉、含鋁鈣秘』:氫氧化鎂瀉、氫氧化鋁與碳酸鈣則便秘。鴉片類便秘因作用於腸道 μ 受體,是少數不會耐受的副作用,常需預防性軟便劑。抗膽鹼藥可用『乾、熱、脹、迷、視糊』(anti-SLUDGE)記其副作用,腸脹便秘即其一。可連結至鴉片誘發便秘 OIC 與藥物性便秘評估。",[25,28,30,32],{"term":26,"count":27},"鐵劑便秘",1,{"term":29,"count":27},"抗膽鹼藥 Atropine",{"term":31,"count":27},"鴉片類 Morphine",{"term":33,"count":27},"含鎂制酸劑腹瀉",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-fundamental-nursing-039","下腸胃道出血病人糞便的顏色，下列何者正確？",39,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-fundamental-nursing-055","趙先生 72 歲，診斷 COPD，此次因呼吸困難入院，監測血氧飽和度 88%，護理師為病人進行初次評估時，下列何者最適當？",55,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-069","護理師排班原則必須符合相關的法令規定，下列何者與排班較無直接關係？",69,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-fundamental-nursing-027","張先生，腸道手術後第一天，NPO 中，目前使用鼻胃管抽吸引流，引流量多，下列靜脈輸注溶液，何者最適用？",27,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-1-fundamental-nursing-071","因個人擁有高度專業知識技能而贏得部屬的尊敬和信從，是屬於下列何種影響力？",71,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-fundamental-nursing-025","冷療可以抑制炎症反應的主要原理，下列何者正確？",25,111,"2026-09-04",1788510697780]