[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-040","nurse-109-1-fundamental-nursing-040",109,1,40,"一位 75 歲男性、身材適中、有心房纖維震顫、高血壓及梗塞性腦中風導致右側肢體偏癱的住院病人，目前左手注射 D 5 W+KCL 10 mEq 40 c.c.\u002F小時，以電子血壓計測量血壓，下列有關血壓和脈搏測量，何者最適當？",{"A":15,"B":16,"C":17,"D":18},"如血壓需重複測量，壓脈帶內空氣不需放鬆，兩次測量間隔 2 分鐘","應同時測量心尖脈及左手橈動脈脈搏","應測量左右手血壓，取數值較低側為準","測量大腿血壓時，壓脈帶包裹於膝膕動脈處","B",null,[],"本題考點為心房纖維顫動病人的脈搏測量原則。心房顫動會造成脈搏不規則與脈搏短絀（pulse deficit），故應同時測量心尖脈與橈動脈以比對兩者差距，B正確。A錯在重複測血壓時壓脈帶內空氣須完全放鬆、間隔至少一至二分鐘讓靜脈血回流，不放鬆會使讀值失準。C錯在左右手血壓應取數值較高側為準，而非較低側。D錯在測大腿血壓時壓脈帶應綁於大腿中段、聽診膕動脈，而非把壓脈帶包裹在膕動脈處。","脈搏短絀等於心尖脈次數減橈動脈次數，心房顫動時部分心搏太弱無法傳達至周邊而漏摸，需兩人同步或先測心尖脈；此差值反映心律不整嚴重度。此病人右側偏癱、左手又打點滴，測量部位受限亦是設計考點。雙側血壓取較高側，因較能反映真實中央動脈壓。",[25,28,31,33],{"term":26,"count":27},"脈搏短絀",6,{"term":29,"count":30},"心房顫動",2,{"term":32,"count":30},"血壓測量原則",{"term":34,"count":11},"心尖脈",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-fundamental-nursing-041","有關人體的胃結腸反射刺激排便，通常在何時反射作用最強？",41,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-109-2-fundamental-nursing-057","組織的傳統管理理論與修正管理理論的差異，下列敘述何者正確？",57,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-110-1-fundamental-nursing-071","因個人擁有高度專業知識技能而贏得部屬的尊敬和信從，是屬於下列何種影響力？",71,110,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-2-fundamental-nursing-029","有關灌腸時肛管插入的深度及大小的選擇，下列敘述何者正確？",29,111,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-112-2-fundamental-nursing-073","有關提升護理生產力的敘述，下列何者正確？",73,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-fundamental-nursing-037","有關成本分類，下列敘述何者正確？",37,113,3,"2026-09-04",1788510711977]