[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-032":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-109-1-基本護理學與護理行政-032","nurse-109-1-fundamental-nursing-032",109,1,32,"吳爺爺因中風長期臥床，有長期便秘情形，目前 Senokot（Senna）2＃po HS 使用，近日肛門口會不自主滲出少量糞水、有便意感、腹痛，下列措施何者最適當？",{"A":15,"B":16,"C":17,"D":18},"暫停 Senokot（Senna）","給予止瀉劑","給予灌腸","肛門指診","D",null,[],"本題考點在於長期便秘合併糞水滲漏的成因判斷與優先處置。個案長期便秘、使用Senna,近日肛門不自主滲出少量糞水並有便意與腹痛,符合糞便嵌塞(fecal impaction)造成的溢出性腹瀉表現,依先評估確認病因再處置的原則,應先執行肛門指診確認是否有硬便嵌塞,選項D最適當。選項A暫停Senna無助解除已嵌塞的糞塊;B給止瀉劑會使嵌塞惡化,因滲漏非真性腹瀉;C逕行灌腸前仍應先指診評估,故最優先且適當者為肛門指診,選D。","糞便嵌塞典型表現:長期便秘後出現稀糞水滲漏(溢出性\u002F假性腹瀉)、便意、腹痛與腹脹。處置順序:肛門指診確認並可手指挖除硬便,再視情況以油性或清水灌腸軟化排出。誤用止瀉劑會加重嵌塞。高危族群:臥床、老年、脫水、鴉片類止痛與神經病變者。",[25,28,31,33],{"term":26,"count":27},"先評估後處置",3,{"term":29,"count":30},"糞便嵌塞",2,{"term":32,"count":11},"溢出性腹瀉",{"term":34,"count":11},"肛門指診評估",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-fundamental-nursing-033","協助王老先生執行床上擦澡，下列敘述何者正確？",33,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-109-2-fundamental-nursing-049","以造口灌食法提供病人腸道營養之途徑，下列何者正確？",49,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-110-1-fundamental-nursing-063","有關排班的敘述，下列何者正確？",63,110,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-2-fundamental-nursing-021","當一個人的動脈血中 pH 值：7.25，PaCO 2 ：65 mmHg，〔HCO 3- 〕：25 mEq\u002FL，在臨床上是屬於那一類酸鹼平衡失調？",21,111,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-112-2-fundamental-nursing-065","依勞工健康保護規則規定，對於未滿 40 歲的員工，雇主多久需安排一次一般健康檢查？",65,112,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-3-fundamental-nursing-029","有關鼻胃管餵食法，下列敘述何者錯誤？",29,113,"2026-09-04",1788510711906]