[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-049":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-049","nurse-106-2-fundamental-nursing-049",106,2,49,"陳女士，68 歲，家管，主訴晚上睡不好做夢多，晚上躺床後不易入睡，白天容易打瞌睡，平常下午午睡約 45 分鐘，傍晚會外出買菜順便散步 30 分鐘，煮晚餐吃過飯後洗澡看電視，約 10 pm 上床睡覺習慣開著燈，6 am 起床。過去病史包含糖尿病與心臟病，目前服用降血壓藥、降血糖藥、利尿劑、強心劑等藥物規律控制中，根據以上敘述，下列那些因素最可能會影響陳女士的睡眠？①缺乏運動 ②午睡太久 ③多重用藥 ④強心劑如 Digoxin 易導致惡夢 ⑤生活不規律 ⑥夜間睡眠燈光太亮",{"A":15,"B":16,"C":17,"D":18},"①②⑤","①③⑥","②④⑤","③④⑥","D",null,[],"本題考點是綜合情境判斷影響睡眠的因素。逐項比對陳女士的生活:③她同時服降血壓、降血糖、利尿劑、強心劑等多重用藥,多重用藥確會干擾睡眠;④強心劑 Digoxin 的中樞副作用可致惡夢與視覺異常;⑥她習慣開燈睡覺,過亮光線抑制褪黑激素分泌、干擾睡眠,三者成立,故選 D(③④⑥)。反觀①「缺乏運動」不成立——她傍晚散步 30 分鐘;②「午睡太久」不成立——午睡約 45 分鐘,並非過長;⑤「生活不規律」不成立——她作息其實相當規律。故凡含①②⑤者皆非。核心在對照情境事實逐一排除。","老年人睡眠特點是深睡期減少、片段化、易早醒。Digoxin 中毒或血中濃度偏高可致視覺變黃綠、惡夢、譫妄,是老人多重用藥的警訊。利尿劑若傍晚服用會增加夜尿。光線經視網膜下視丘徑路抑制松果體褪黑激素,故臥室宜昏暗。可連結至老年睡眠衛生與 Beers criteria 潛在不適當用藥。",[25,28,30,32],{"term":26,"count":27},"多重用藥",1,{"term":29,"count":27},"Digoxin 神經副作用",{"term":31,"count":27},"光線與褪黑激素",{"term":33,"count":27},"老年睡眠衛生",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-fundamental-nursing-050","承上題，改善陳女士的睡眠照護計畫，下列何者正確？①建議睡前 2～4 小時少喝水 ②晚上多運動 ③請醫師調整多重用藥 ④白天多次小睡以彌補不足的睡眠 ⑤調整夜間睡眠光線為昏暗 ⑥建議長期使用安眠藥",50,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-107-1-fundamental-nursing-066","某醫院的外科病房有 25 張床，共有 12 名護理師，一年實際上班天數為 245 天，若占床率為 90%，請問該病房的護理時數為多少小時？",66,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-080","針對醫院評鑑的敘述，下列何者正確？",80,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-1-fundamental-nursing-038","根據下列四位住院病人之生命徵象測量結果，何者應最優先處理？",38,109,{"webId":54,"stem":55,"number":11,"year":56,"session":11},"nurse-110-2-fundamental-nursing-002","下列何種情況出現時只需要記錄，不需要報告？",110,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-111-2-fundamental-nursing-036","使用床上護架的情況，下列何者錯誤？",36,111,"2026-09-04",1788510697888]