[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-045":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-045","nurse-106-2-fundamental-nursing-045",106,2,45,"因心律不整造成缺血性中風，導致左側偏癱且右手點滴滴注的病人測量其血壓時，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"可測量右下肢肢體血壓","血壓可連續測量三次，以最後一次數值為主","測量時放氣速度太慢易形成收縮壓偏高","測量時聽診器應放置於尺動脈處","A",null,[],"本題考點是特殊病人的血壓測量部位與技術。依測量原則,肢體有靜脈點滴、動靜脈廔管、乳癌術後淋巴廓清或偏癱側都不宜量血壓;本例左側偏癱、右手點滴,雙上肢皆不適合,故改測未受影響的下肢,A 可測量右下肢肢體血壓,正確。B 錯在連續量三次以最後一次為準——連續加壓會造成靜脈鬱血使數值失真,應間隔休息並取代表值;C 錯在放氣太慢會造成靜脈充血,使收縮壓偏「低」、舒張壓偏高,而非收縮壓偏高;D 錯在聽診器應置於「肱動脈」而非尺動脈。唯 A 符合部位選擇原則。","血壓測量誤差來源:壓脈帶過窄或過鬆→偏高;過寬或過緊→偏低;放氣過快→低估;放氣過慢(靜脈鬱血)→收縮壓低估、舒張壓高估;手臂低於心臟→偏高。下肢(膕動脈)血壓通常較上肢高約 10～40 mmHg,判讀需校正。記憶『患側、廔管、點滴不量,聽診肱動脈』,可連結至偏癱病人與血壓測量標準流程。",[25,28,30,32],{"term":26,"count":27},"血壓測量禁測部位",1,{"term":29,"count":27},"偏癱側與點滴側",{"term":31,"count":27},"放氣速度誤差",{"term":33,"count":27},"肱動脈聽診",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-fundamental-nursing-046","約束病人時，需注意肢體血液循環，有關評估方式：C.T.M.S.的敘述，下列何者錯誤？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-fundamental-nursing-062","護理師每 6 年須接受一定時數的繼續教育才可以辦理執照更新，這是屬於下列何種護理專業形象建立之作為？",62,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-076","護理主任參考過去之業務及用途來擬訂預算是屬於下列何種預算型式？",76,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-fundamental-nursing-034","王太太 58 歲，用力咳嗽或者大笑時就會出現滲尿，心情受影響情緒低落，下列何項護理措施不合適？",34,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-1-fundamental-nursing-078","某病房最近發生集體院內感染，護理部主任經與督導個別討論後，主任決定要求護理長提出改善方案，此決策模式屬於下列何種決策？",78,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-fundamental-nursing-032","下列那一種情況，病人的大便較不可能是黑色？",32,111,"2026-09-04",1788510697837]