[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":61},"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-107-2-基本護理學與護理行政-020","nurse-107-2-fundamental-nursing-020",107,2,20,"對於心肌梗塞病人於胸痛時給與 nitroglycerin（NTG）藥物前後評估之重點，下列何者正確？①瞳孔大小 ②血壓 ③疼痛部位及程度 ④體溫",{"A":15,"B":16,"C":17,"D":18},"①②","①④","②③","③④","C",null,[],"本題考點為 nitroglycerin(NTG，硝化甘油)給藥前後的評估重點。NTG 為血管擴張劑，會降低血壓，故給藥前後須監測②血壓，避免低血壓；而其用於緩解心絞痛，須評估③疼痛部位及程度以判斷藥效，故②③組合的 C 為正解。①瞳孔大小與 NTG 作用無關，屬神經學評估項目。④體溫與心肌缺氧疼痛及血管擴張作用皆無直接關聯。含①或④的 A、B、D 均不符。","NTG 舌下含服 5 分鐘未緩解可再給，每 5 分鐘一次至多三次，每次給藥前均須測血壓，收縮壓低於 90 mmHg 應停用。其擴張靜脈降低前負荷、擴張冠狀動脈增加供血以緩解胸痛，常見副作用為頭痛、姿位性低血壓與臉部潮紅，故血壓與疼痛程度是療效與安全的雙重指標。",[25,28,30],{"term":26,"count":27},"nitroglycerin 血管擴張",1,{"term":29,"count":27},"給藥前後評估",{"term":31,"count":27},"心絞痛疼痛評估",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-021","小可是一個妊娠週數 32 週的早產兒，目前體重 1.8 kg，有低血糖情形，給與 12.5% glucose water 靜脈輸注中。小可因血紅素過低，依醫囑輸血，輸血後 10 分鐘出現發燒、心搏過速、低血壓、血尿等情形，下列護理措施何者須優先執行？",21,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-037","關於留置導尿管護理之敘述，下列何者正確？①尿袋維持在膀胱以下 ②尿袋內尿量可超過 3\u002F4 ③每日執行至少一次的導尿管護理 ④尿袋若無結晶、血塊或沉澱物不需定期更換",37,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-051","護理師告知入院病人相關的權利敘述中，不包含下列何者？",51,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-009","當醫療院所開始發生火災時，護理人員依 RACE 的原則進行臨場處置，其中 A 是指：",9,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-053","王先生因氣喘發作而急診入院，剛轉入病房，可聽見呼吸喘鳴音（wheezing），首要的入院護理措施為何？",53,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-007","王先生來自香港，是住院中病人。一日突然神情恍惚，揮舞雙手走出病房，搖搖擺擺走入護理站，口中並不斷地喃喃自語。會講粵語的林護理師直接以粵語和緩地對王先生說話，慢慢把恍惚的王先生帶回病房病床，以便進行後續處置。在此情境中，下列何者不是阻礙王先生與林護理師之間有效溝通的因素？",7,112,"2026-09-04",1788510724294]