[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-048":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":11},"nurse-107-2-基本護理學與護理行政-048","nurse-107-2-fundamental-nursing-048",107,2,48,"有關鼻胃管的放置，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"鼻胃管放置時，如病人因病況無法抬高頭部，則建議採左側臥，以利管子進入胃部","需採外科無菌技術進行鼻胃管放置，以免感染","以凡士林潤滑鼻胃管前端 15～20 公分，以利鼻胃管放置","鼻胃管放置後，反抽胃液，以酸鹼試紙測試，pH 值為 6.5，則需調整插入深度","D",null,[],"本題考點在鼻胃管放置與位置確認。依胃液呈酸性的生理原理，正常胃液 pH 約 1～5.5；D 反抽液以酸鹼試紙測得 pH 6.5 偏高，代表管端可能不在胃內（在食道或已過幽門），須調整插入深度重新確認，敘述正確，選 D。A 無法抬頭時應採右側臥利於管子順幽門走向，採左側臥不利，錯誤。B 放鼻胃管屬清潔技術而非外科無菌，敘述錯誤。C 應以水溶性潤滑劑而非凡士林（油性易致吸入性肺炎），且潤滑約 7～10 公分即可，15～20 公分過長，錯誤。故唯 D 正確。","確認鼻胃管位置的方法演進：胸部 X 光為黃金標準，床邊則以反抽胃液測 pH（≤5.5 較支持在胃）搭配觀察性狀，聽診打氣法已不建議單獨使用。凡士林等油性潤滑劑一旦誤入呼吸道無法被吸收，會引發脂質性肺炎，故插管一律用水溶性凝膠。右側臥利用幽門朝右的解剖走向幫助管子前進。口訣：「胃酸偏酸、偏鹼要疑、水溶潤滑、右側好過」。",[25,27,30,32],{"term":26,"count":11},"鼻胃管位置確認",{"term":28,"count":29},"胃液 pH 值",1,{"term":31,"count":29},"水溶性潤滑劑",{"term":33,"count":29},"清潔技術",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-fundamental-nursing-049","有關睡眠功能的敘述，下列何者正確？①非快速動眼期時血壓下降 ②快速動眼期時新陳代謝減緩 ③快速動眼期時幫助記憶和學習 ④快速動眼期時消除疲勞 ⑤非快速動眼期時幫助應付壓力穩定情緒 ⑥快速動眼期之夢境生動且為彩色",49,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-fundamental-nursing-065","下列何者屬於護理人員專業能力進階中 N2→N3 層級的訓練重點？",65,108,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-108-2-fundamental-nursing-079","有關醫療糾紛處理後的省思與預防，下列何者較為適當？①徹底檢討追究事故當事者之疏失 ②給予事故當事者關懷，協助走出傷痛 ③ 加強在職教育，提升照護品質 ④為防事故再發生，所有醫囑均須請醫師說明",79,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-fundamental-nursing-037","正常成人之尿餘量應少於多少？",37,110,{"webId":54,"stem":55,"number":29,"year":56,"session":11},"nurse-111-2-fundamental-nursing-001","有關健康與疾病觀點的敘述，下列何者錯誤？",111,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-112-2-fundamental-nursing-035","王太太右側肢體偏癱，協助採側臥時，下列措施何者錯誤？",35,112,"2026-09-04",1788510724579]