[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-035":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-035","nurse-109-1-fundamental-nursing-035",109,1,35,"有關糞便嵌塞使用手指挖除糞石之注意事項，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"挖除時易造成交感神經反應徵象","過程中病人主訴心悸為正常反應，可持續挖除動作","若糞石阻塞於直腸處宜使用灌腸","以含局部麻醉成分之潤滑液塗抹肛門後再執行指挖","D",null,[],"本題考點為糞便嵌塞手指挖除糞石的安全注意事項。依迷走神經反射機轉，刺激肛門直腸會興奮副交感神經、可能引發心搏過緩，故D先以含局部麻醉成分的潤滑液塗抹肛門降低疼痛與刺激再執行為正確。A錯在挖除誘發的是迷走神經（副交感）反應而非交感神經徵象。B錯在過程中出現心悸表示已刺激迷走神經、應立即停止而非持續挖除。C錯在糞石堅硬嵌塞於直腸時，灌腸液無法軟化排出，須先手指挖除，灌腸並非首選。","迷走神經自延腦分布至內臟，肛門指診或挖便的刺激可經迷走反射降低心率、血壓甚至暈厥，故心臟病人尤須謹慎監測。局部麻醉潤滑液（如xylocaine jelly）可降低黏膜痛覺與括約肌痙攣。糞便嵌塞常見於臥床、脫水、使用鴉片類止痛藥而便秘者。",[25,28,30,33],{"term":26,"count":27},"迷走神經反射",3,{"term":29,"count":27},"心搏過緩",{"term":31,"count":32},"糞便嵌塞",2,{"term":34,"count":11},"局部麻醉潤滑",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-fundamental-nursing-036","一位初入院的病人主訴不適且左側無力，血壓數值右手 148\u002F76 mmHg、左手 120\u002F66 mmHg，下列處置何者較適當？",36,{"webId":41,"stem":42,"number":43,"year":10,"session":32},"nurse-109-2-fundamental-nursing-052","下列何者為痰液呈現鐵鏽色之最可能原因？",52,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-110-1-fundamental-nursing-066","下列何項不是運用資訊科技促進病人安全？",66,110,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-2-fundamental-nursing-024","有關執行輸血措施的步驟，下列何者錯誤？",24,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-2-fundamental-nursing-068","護理人員與值班醫師有爭執時，護理長直接與醫師溝通，屬於下列何種溝通類型？",68,112,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-113-3-fundamental-nursing-032","針對傳染病病房於病人出院後的處理方式，下列敘述何者正確？",32,113,"2026-09-04",1788510711936]