[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-044":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-044","nurse-108-1-fundamental-nursing-044",108,1,44,"下列何項比較不會影響吳太太睡眠狀況？",{"A":15,"B":16,"C":17,"D":18},"年齡","疼痛","抗生素","β 阻斷劑","C",null,[],"本題考點是影響睡眠的因素辨識,要選出「較不會影響」睡眠者。依各因子對睡眠的作用機轉判斷,C抗生素一般不直接干擾睡眠結構,對吳太太睡眠影響最小,故選C。A年齡是睡眠重要影響因素,老年人深睡期減少、夜醒增多、睡眠變淺;B疼痛(術後傷口痛)是題幹明確干擾其睡眠的主因,會使入睡困難與睡眠中斷;D吳太太長期服用的β阻斷劑會抑制夜間褪黑激素分泌,常見副作用為失眠與惡夢,確會影響睡眠。三個選項皆有明確干擾睡眠機轉,唯抗生素與睡眠障礙無直接關聯,故為最不相關者。","影響睡眠因素:年齡、疼痛不適、焦慮壓力、環境(光線噪音)、生活作息、飲食(咖啡因、酒精)、藥物。藥物中β阻斷劑(如propranolol)脂溶性高、可穿越血腦障壁抑制褪黑激素,易致失眠與生動惡夢;類固醇、利尿劑、部分抗憂鬱劑亦干擾睡眠。抗生素一般不列典型失眠藥物。臨床可連結:此病例β阻斷劑既治高血壓又是潛在失眠源,護理評估用藥史時須留意。",[25,27,29,31],{"term":26,"count":11},"睡眠影響因素",{"term":28,"count":11},"β阻斷劑",{"term":30,"count":11},"褪黑激素",{"term":32,"count":11},"老化與睡眠",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-108-1-fundamental-nursing-045","有關促進吳太太睡眠之護理措施，下列敘述何者錯誤？",45,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-108-2-fundamental-nursing-061","單位主管利用減薪、降級或解僱的方式達到行政管理的績效，是採用下列那一種影響力？",61,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-075","有關護理資訊系統的敘述，下列何者錯誤？",75,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-fundamental-nursing-033","病人便秘、痔瘡凸出疼痛，下列冷熱處理方式，何者最適當？",33,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-fundamental-nursing-077","有關醫院風險危害分析（hazard vulnerability analysis），下列敘述何者正確？",77,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-fundamental-nursing-031","臨床中有關傷口以繃帶包紮的注意事項，下列何者錯誤？",31,112,3,"2026-09-04",1788510709137]