[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-037":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-108-2-基本護理學與護理行政-037","nurse-108-2-fundamental-nursing-037",108,2,37,"病人因車禍造成頭部外傷且出現腦水腫，下列何者是優先考慮使用的點滴溶液？",{"A":15,"B":16,"C":17,"D":18},"0.45% saline","D 5 W","D 5 S","Normal saline","C",null,[],"本題考點為腦水腫病人的輸液張力選擇原則:避免使用低張溶液,以免自由水進入腦細胞而加重腦水腫。0.45% saline為低張;D5W輸入後葡萄糖被代謝、僅剩自由水而等同低張,兩者皆會惡化腦水腫,故排除A、B。相較之下,D5S(含5%葡萄糖之食鹽水)代謝後留下等張食鹽水、不增加腦部自由水,又能提供部分熱量,列為優先考慮,選C。D的Normal saline雖為等張亦可用,但本題以能兼顧不加重腦水腫與熱量供應的D5S為優先。核心在辨識低張溶液對腦水腫的危害。","輸液張力與腦水腫:低張液(0.45% saline、D5W)使血漿滲透壓下降,水分順滲透梯度進入腦細胞,升高顱內壓、加重腦水腫,為頭部外傷禁忌。等張(Normal saline、LR)維持血管內容量而不使水分內移;高張(3% saline、mannitol)則反向把水分拉出腦組織以降腦壓。D5W的陷阱在於「輸時等張、代謝後低張」,常被誤選。記憶:「腦水腫忌低張,宜等張或高張」。臨床亦顧慮高血糖惡化腦缺血,故含糖溶液使用需權衡。",[25,28,30,33],{"term":26,"count":27},"低張溶液",5,{"term":29,"count":11},"顱內壓",{"term":31,"count":32},"輸液張力",1,{"term":34,"count":32},"腦水腫",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-038","有關排便機轉之敘述，下列何者正確？",38,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-fundamental-nursing-054","管灌飲食（NG diet tube feeding）出現腹瀉合併症後，下列措施何者最適當？",54,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-068","急診護理師小美擔任臨床護理教師角色，指導新進人員基本照護技能，同事也常找他請教個案的整體性照護，小美總能提出具體可行的建議。你若是護理長，會鼓勵小美繼續那些專業發展訓練？",68,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-fundamental-nursing-026","病人沐浴後因寒顫而使用烤燈，下列何者正確？",26,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-fundamental-nursing-070","對於分權式組織特性的描述，下列敘述何者最適宜？",70,112,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-113-2-fundamental-nursing-004","醫院出現火災時，緊急應變守則可遵循 RACE 原則，下列措施何者錯誤？",4,113,"2026-09-04",1788510705828]