[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-109-1-基本護理學與護理行政-027","nurse-109-1-fundamental-nursing-027",109,1,27,"張先生，腸道手術後第一天，NPO 中，目前使用鼻胃管抽吸引流，引流量多，下列靜脈輸注溶液，何者最適用？",{"A":15,"B":16,"C":17,"D":18},"3% Saline","Normal Saline","Mannitol","Ringer’s solution","D",null,[],"本題考點在於腸道術後禁食、鼻胃管大量引流時的靜脈輸注液選擇。鼻胃管引流會流失富含鈉、鉀、氯的等張腸胃液,依補液應貼近所流失體液成分的原則,含鈉、鉀、鈣、氯與乳酸的乳酸林格氏液(Ringer's\u002FLactated Ringer's)最能同時補水與補電解質,選項D最適用。選項A為3%高張食鹽水、用於嚴重低血鈉,非常規補液;B生理食鹽水雖等張但缺鉀等電解質;C Mannitol為滲透性利尿劑、會增加排尿加重流失,皆不適合,故選D。","腸胃液流失以等張且多電解質為特徵,首選平衡晶體液(乳酸林格氏)。輸注液分類:等張(N\u002FS、LR)補容積;低張(0.45% NaCl)補細胞內水分;高張(3% NaCl、D10)用於特定失衡。Mannitol屬治療性利尿或降腦壓,非補液。口訣:『失什麼、補什麼、張力要相稱』。",[25,28,30,32],{"term":26,"count":27},"乳酸林格氏液",3,{"term":29,"count":11},"等張晶體液",{"term":31,"count":11},"腸胃液電解質流失",{"term":33,"count":11},"Mannitol滲透性利尿",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-1-fundamental-nursing-028","有一醫囑：0.45% NaCl 每小時靜脈輸注 100 mL，擬以普通輸注套管（macrodrip，15 gtt\u002FmL）輸注，流速每分鐘應為幾滴？",28,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-109-2-fundamental-nursing-044","下列藥物作用何者不會干擾睡眠週期？",44,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-110-1-fundamental-nursing-058","資訊時代，必須注意環境中有許多影響因素，務必依據情況的變化進行適度調整，才能永續經營。此論述比較接近下列那個時期的觀點？",58,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-fundamental-nursing-016","醫囑：Unasyn 750 mg I.V.D q.6.h，現有 Unasyn 2 gm\u002Fvial 粉劑，以無菌蒸餾水稀釋粉劑成總量 4 c.c. 後，應抽出多少 c.c. 才符合此次注射劑量？",16,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-fundamental-nursing-060","護理部指派護理長籌備新病房，其中有關訂定人員的工作說明書及職責，屬於下列何項護理管理過程？",60,112,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-3-fundamental-nursing-024","有關影響血壓因素之敘述，下列何者正確？",24,113,"2026-09-04",1788510711856]