[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-051","nurse-109-1-fundamental-nursing-051",109,1,51,"有關臨終病人常見的生理變化，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"焦慮不安，身體活動力增加","呼吸道分泌物增加，產生呼吸吵雜音（death rattle）","臉色潮紅與腫脹的希氏面容（facies Hippocratica）","深且快規則的呼吸型態","B",null,[],"本題考點為臨終病人常見的生理變化。瀕死時吞嚥與咳嗽反射減弱，呼吸道分泌物積聚於咽喉，隨氣流振動產生嘎嘎聲（death rattle，臨終喉鳴），故B正確。A錯在臨終常見的是活動力下降、嗜睡、虛弱，而非焦慮不安、活動力增加。C的希氏面容（facies Hippocratica）特徵為面容消瘦、雙頰凹陷、眼窩深陷、面色蒼白灰暗，並非潮紅腫脹。D臨終呼吸型態多為淺快不規則或陳施氏呼吸、間有暫停，而非深且快且規則。故僅B正確。","臨終常見徵象：周邊循環變差致四肢冰冷、發紺、皮膚斑駁（mottling）；意識漸昏睡；括約肌鬆弛而失禁；分泌物積聚成臨終喉鳴，可採側臥、減少抽吸刺激因應。希氏面容源自希波克拉底對瀕死面貌的描述。陳施氏呼吸則提示腦部灌流下降。",[25,28,31,34],{"term":26,"count":27},"臨終生理變化",5,{"term":29,"count":30},"陳施氏呼吸",4,{"term":32,"count":33},"希氏面容",2,{"term":35,"count":11},"臨終喉鳴",[37,41,45,49,54,59],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-1-fundamental-nursing-052","陳先生接受冠狀動脈繞道手術後，醫囑為 Pethidine（Demerol）50 mg IM st.，下列敘述何者正確？",52,{"webId":42,"stem":43,"number":44,"year":10,"session":33},"nurse-109-2-fundamental-nursing-068","急診護理師小美擔任臨床護理教師角色，指導新進人員基本照護技能，同事也常找他請教個案的整體性照護，小美總能提出具體可行的建議。你若是護理長，會鼓勵小美繼續那些專業發展訓練？",68,{"webId":46,"stem":47,"number":33,"year":48,"session":33},"nurse-110-2-fundamental-nursing-002","下列何種情況出現時只需要記錄，不需要報告？",110,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-111-2-fundamental-nursing-040","關於常見脈律不整類型的敘述，下列何者錯誤？",40,111,{"webId":55,"stem":56,"number":30,"year":57,"session":58},"nurse-112-3-fundamental-nursing-004","有關護理人員助人專業的倫理守則，下列敘述何者錯誤？",112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-113-3-fundamental-nursing-048","護理長接獲同仁反應有病人家屬抱怨護理師延誤給藥，恐導致病人病情變化，下列做法何者最適宜？",48,113,"2026-09-04",1788510712073]