[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-108-1-內外科護理學-005","nurse-108-1-medical-surgical-005",108,1,5,"病人癲癇發作，意識不清的護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"拉起床欄並將病人約束","由嘴角放入抗癲癇藥物","採平臥頭側向一邊","給予刺激以喚醒病人","C",null,[],"本題考點是癲癇發作且意識不清時的正確護理措施。依發作期安全原則，應讓病人採平臥、頭側向一邊，以利口腔分泌物流出、避免舌後倒阻塞及吸入性風險，維持呼吸道通暢，故正解為 C。A 錯在發作中不可強行約束肢體，硬壓反易造成骨折或軟組織傷害，正確做法是移除周遭危險物並保護頭部。B 錯在絕不可從嘴角塞入藥物或任何物品，牙關緊閉時強行放入會造成牙齒斷裂、口腔損傷或阻塞呼吸道（傳統壓舌板作法已淘汰）。D 錯在發作當下不應給予刺激企圖喚醒，過度刺激可能加重或延長發作。判斷關鍵在於「發作時只求維持呼吸道與安全，不約束、不塞物、不刺激」。","全身性發作期護理三不：不約束、不放東西進嘴、不強行喚醒。正確作為：側臥或頭側向防吸入、鬆解衣領、移開危險物、保護頭部、記錄發作型態與時間。發作後（postictal）常意識混亂嗜睡，予安靜環境休息。連續發作超過 5 分鐘或反覆未清醒即癲癇重積狀態，屬急症。可連結抗癲癇藥物與呼吸道維持複習。",[24,27,29,31],{"term":25,"count":26},"癲癇發作護理",2,{"term":28,"count":10},"呼吸道通暢",{"term":30,"count":10},"側臥頭側向",{"term":32,"count":10},"發作期安全",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-medical-surgical-006","病人突然左側肢體無力，由家屬送入急診，目前肌肉力量右側肢體 5 分、左手 3 分、左腳 1 分，請問最有可能是那一條腦血管的阻塞？",6,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-108-2-medical-surgical-022","冠狀動脈繞道手術後病人送至加護病房時，下列何種徵象必須立即通知醫師？",22,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-medical-surgical-036","有關靜脈導管 Port-A 之敘述，下列何者正確？①放置 Port-A 人工血管，須採全身麻醉方式 ②Port-A 導管可由腋靜脈放置到鎖骨下靜脈 ③注射起泡性藥物時，應測試是否有回血 ④注射藥物時，使用一般空針 90 度插入，以免發生外滲",36,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-medical-surgical-074","長期接受血液透析的病人，突然意識改變、出現抽筋及肌肉無力情況，入急診求治，抽血檢查結果：尿素氮／肌酸酐 120 mg\u002FdL／10.6 mg\u002FdL、鉀離子 7.8 mg\u002FdL、鈉離子 135 mg\u002FdL，動脈血液氣體分析結果：pH 7.28、PaO 70 mmHg、PaCO 30 mmHg、 HCO _ 20 mEq\u002FL。下列判斷何者正確？ 2 2 3",74,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-2-medical-surgical-038","有關癌症病人感染問題的照護與護理指導，下列何者正確？",38,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-medical-surgical-072","有關升糖指數飲食指導之敘述，下列何者正確？①升糖指數是指人體食用含醣食物後，血中葡萄糖反應的速度和強度 ②糖尿病人要選擇高升糖指數食物，以免造成低血糖 ③乳品類食物升糖指數較高，常見的食物，如：全脂奶 ④全穀類食物升糖指數較低，常見的食物，如：全麥早餐穀類",72,112,"2026-09-04",1788510709492]