[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-045","nurse-107-2-fundamental-nursing-045",107,2,45,"每次灌食前，必須反抽胃內溶液之主要目的是在預防灌食造成下列何種情況？",{"A":15,"B":16,"C":17,"D":18},"體重過重","水腫","便祕","肺吸入","D",null,[],"本題考點在管灌前反抽胃內容物（檢查殘餘量）的目的。依鼻胃管灌食安全原理，反抽可確認管子在胃內、評估前次灌食是否消化排空；若殘餘量過多仍持續灌食，胃過度膨脹易造成胃內容物逆流至咽喉並吸入呼吸道，故主要在預防 D「肺吸入」（吸入性肺炎），選 D。A 體重過重與單次灌食殘餘量無直接關係。B 水腫屬體液分布問題，非反抽所能預防。C 便祕與腸道蠕動、纖維、水分相關，也不是反抽的目的。三者皆與吸入風險無關，故非答案。","反抽的三個判讀價值：確認位置（配合聽診與 pH）、評估殘餘量（過多代表胃排空延遲，應暫停或減量）、觀察內容物性狀。吸入性肺炎好發於灌食後平躺、殘餘量高、意識不清者，故灌食時床頭抬高 30～45 度、灌後維持半坐臥 30～60 分鐘。口訣：「灌前先抽、抽多先停、抽完再灌、灌後坐挺」。抽出的胃液原則上再打回以免流失電解質。",[25,28,31,33],{"term":26,"count":27},"吸入性肺炎",3,{"term":29,"count":30},"鼻胃管殘餘量",1,{"term":32,"count":30},"胃排空與逆流",{"term":34,"count":30},"灌食安全",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-2-fundamental-nursing-046","下列何者不是造成壓瘡（pressure sore）的原因？",46,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-108-1-fundamental-nursing-062","醫院內重大採購或硬體建設所需之預算是屬於下列何者？",62,108,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-108-2-fundamental-nursing-076","某護理長常以組織目標運用激勵人心方式與護理師溝通，讓部屬激發其才智，並感覺被尊重及認同，此屬於何種領導類型？",76,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-110-1-fundamental-nursing-034","張女士 62 歲，懷孕 7 次，生了 5 個孩子。常常在大笑或咳嗽時排出少量尿液，屬於下列那一種尿失禁？",34,110,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-111-1-fundamental-nursing-078","有關線性溝通模式中溝通品質之關鍵要素，下列敘述何者正確？",78,111,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-112-2-fundamental-nursing-032","有關便秘的護理措施，下列何者正確？",32,112,"2026-09-04",1788510724557]