[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":10},"nurse-108-2-內外科護理學-027","nurse-108-2-medical-surgical-027",108,2,27,"針對左心室射出率（EVEF）為 12%，有端坐呼吸且雙側下肢水腫厲害的心臟衰竭病人之護理，下列何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"協助採半坐臥姿勢以維持呼吸順暢","指導飲食限水、限鹽的方法","抬高雙腳 30 度以上以利改善水腫","監測並記錄體重變化及攝入與排出量","C",null,[],"本題考點是重度收縮性心衰(EF 12%)合併端坐呼吸與下肢水腫時的護理適切性判斷。依血流動力學,抬高雙腳會增加下肢靜脈回流、加大前負荷與肺鬱血,對已嚴重衰竭、有端坐呼吸的心臟是額外負擔,故「抬高雙腳 30 度以上」較不適當,選 C。A 半坐臥可降低靜脈回流、增加肺容積、緩解呼吸困難,適當。B 限水限鹽可減少容量負荷,是心衰基本飲食衛教,適當。D 監測體重與攝入排出量是評估體液平衡與治療反應的重要指標,適當。考點在於辨識姿位對靜脈回流的影響。","對比記憶:心衰要「降前負荷」,故採高坐臥(High Fowler's)、雙腳下垂;抬腳增加回流適用於低血容或休克時,反用於容量過多的心衰會惡化肺水腫。每日固定時間量體重,短期內增加 >2 kg 常提示體液滯留惡化。可連結:前負荷、端坐呼吸、High Fowler's 姿位、每日體重與體液監測。",[24,26,29,31],{"term":25,"count":10},"體液監測",{"term":27,"count":28},"心衰前負荷管理",1,{"term":30,"count":28},"抬高下肢增加靜脈回流",{"term":32,"count":28},"半坐臥姿位",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-028","評估脈搏強度時，發現「很難摸得到，脈搏明顯的減弱」，下列紀錄何者正確？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-medical-surgical-044","有關過敏性休克之敘述，下列何者錯誤？",44,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-058","李同學在打籃球時突然感到左胸尖銳疼痛到急診求治，護理師視診發現李同學的左側胸部起伏較小，且氣管偏向右側，聽診發現左側肺部呼吸音減弱、叩診左側肺部出現過度反響音，此時李同學最可能發生下列何種情形？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-medical-surgical-016","有關膽結石好發之高危險群，下列何者最不可能？",16,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-medical-surgical-060","有關泌尿道感染病人應多攝取之酸灰性食物，下列何者錯誤？",60,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-medical-surgical-044","有關雙胍類降血糖藥物metformin（Glucophage®）之敘述，下列何者錯誤？",113,"2026-09-04",1788510706403]