[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-108-1-基本護理學與護理行政-033","nurse-108-1-fundamental-nursing-033",108,1,33,"協助心肌梗塞急性期病人使用便盆時，下列何項措施較適當？",{"A":15,"B":16,"C":17,"D":18},"先溫暖便盆再給予使用，減少冷的刺激","教導伐式操作法（Valsalva’s maneuver）協助排便","為促進排便順暢，協助下床使用便盆椅","請病人自行抬高臀部，以利移遞便盆","A",null,[],"本題考點是心肌梗塞急性期使用便盆的安全考量,核心原則是「減少心臟負荷、避免用力」。依此原則,A先溫暖便盆再使用,可避免冷刺激引起周邊血管收縮與交感興奮而增加心臟負擔,措施適當,故選A。B教導伐氏操作法(Valsalva's maneuver)是閉氣用力,會使胸腔內壓上升、回心血流驟變並反射性影響心律,對急性期病人危險,應避免;C協助下床使用便盆椅增加活動與耗氧量,急性期應臥床休息,不宜;D請病人自行抬高臀部需用力使勁,同樣增加心肌耗氧與可能誘發伐氏效應,不當。三個錯誤選項共通點都是「增加心臟工作量或用力」,唯溫暖便盆屬減輕負荷之舉。","心肌梗塞急性期治療目標是降低心肌耗氧量(MVO2),而心率、心肌收縮力、後負荷是耗氧三大決定因子。排便時用力屏氣(Valsalva)會先使胸內壓升、靜脈回流減少、血壓下降,放鬆瞬間回心血量暴增、可誘發心律不整甚至猝死,故急性期常規給予軟便劑預防便秘。記憶重點:MI病人排便三不——不用力、不下床、不受冷。可連結冠心病護理、心臟復健分期(急性期絕對臥床→漸進活動)一併複習。",[25,27,29,31],{"term":26,"count":11},"心肌耗氧量",{"term":28,"count":11},"伐氏操作法",{"term":30,"count":11},"心肌梗塞急性期",{"term":32,"count":11},"心臟負荷",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-108-1-fundamental-nursing-034","病人因下腹劇痛數日且盜冷汗入院，主訴已有一週未解便，下列護理師的措施何者較不適當？",34,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-108-2-fundamental-nursing-050","一位長期服用furosemide（Lasix ○ R ）、Warfarin ○ R 的病人，其飲食衛教下列何者適當？",50,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-064","某醫院護理師之月薪為 38,000 元，醫院大小夜班有警衛巡邏，護理師放假時會相約一起出遊。依照上述情況的說明，在馬斯洛需求層級理論中，下列何種需求尚未被提及？",64,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-fundamental-nursing-022","醫囑 Coumadin 1 # p.o. stat & q.d.×3 days then 0.5 # p.o. q.d.，請問第 5 天時 Coumadin 應給予幾顆？",22,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-fundamental-nursing-066","有關人事管理及人力資源管理的敘述，下列何者正確？",66,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-fundamental-nursing-020","護理人員協助病人翻身時的身體力學，下列敘述何者錯誤？",20,112,3,"2026-09-04",1788510709047]