[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-054","nurse-109-1-fundamental-nursing-054",109,1,54,"管灌飲食（NG diet tube feeding）出現腹瀉合併症後，下列措施何者最適當？",{"A":15,"B":16,"C":17,"D":18},"灌食速度宜加快，於 5～10 分鐘內完成灌食","灌食後，抬高床頭 30 度，並讓病人右側臥","稀釋配方濃度，再逐漸增加濃度","灌食溫度宜低於 20℃，避免滋菌","C",null,[],"本題考點為管灌飲食引起腹瀉的處置。腹瀉常因配方濃度過高（高滲透壓）、灌食過快或溫度不當所致，故先稀釋配方濃度、再依耐受度逐漸增回原濃度，可減少滲透性腹瀉，選C正確。A錯在灌食速度應放慢而非加快，於5至10分鐘內快速灌入會加重腹瀉與不適。B抬高床頭與右側臥屬預防吸入的擺位，並非改善腹瀉的直接措施。D錯在灌食溫度應接近體溫（室溫或微溫），過低（低於20度）會刺激腸蠕動而加重腹瀉。","管灌腹瀉病因包括配方高滲透壓、乳糖不耐、灌速過快、溫度過冷、細菌污染、藥物（含山梨醇糖漿或抗生素致菌叢失衡）。處置為降濃度、減速、回溫、確認配方新鮮與衛生。灌食擺位抬高床頭30至45度是預防吸入性肺炎的通則。",[25,28,31,33],{"term":26,"count":27},"管灌飲食",3,{"term":29,"count":30},"灌食速度",2,{"term":32,"count":11},"滲透性腹瀉",{"term":34,"count":11},"配方濃度",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-fundamental-nursing-055","王太太，因癌症 10 天前接受化學治療，口腔內雙頰與上顎出現白斑與破損，且口腔疼痛不敢進食，下列措施何者最適合王太太？",55,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-109-2-fundamental-nursing-071","糖尿病病人住院時訂醫院的素食，但送餐有誤，營養部門進行檢討及改進，下列處理方法何者最不適當？",71,{"webId":45,"stem":46,"number":47,"year":48,"session":30},"nurse-110-2-fundamental-nursing-005","病人術後 6 小時有排尿困難，下列何者誘尿方法需有醫囑才能執行？",5,110,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-2-fundamental-nursing-043","對於胺基酸的敘述，下列何者錯誤？",43,111,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-112-3-fundamental-nursing-007","有關護理診斷的敘述，下列何者正確？①是由三個基本要素構成，稱之 P.E.O.型式 ②健康問題是指陳述護理診斷的名稱 ③導因是指線索 ④徵象和症狀又稱定義特徵",7,112,{"webId":60,"stem":61,"number":11,"year":62,"session":11},"nurse-114-1-fundamental-nursing-001","依據疾病自然史發展，在疾病的易感染期欲將危險因子去除或減至最低，可提供何種預防方法？",114,"2026-09-04",1788510712102]