[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-109-1-內外科護理學-027","nurse-109-1-medical-surgical-027",109,1,27,"有關心臟復健（Cardiac Rehabilitation, CR）運動原則之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"運動前應先暖身 5～10 分鐘","為達到最大運動效果，可以摒住呼吸","用餐後不宜立刻運動","運動強度之最大心率以（220－年齡）×70～85%為原則","B",null,[],"本題考點在於心臟復健運動原則，屬選錯誤題。選項B「為達最大運動效果可以摒住呼吸」為錯誤，摒住呼吸即Valsalva動作會使胸內壓升高、回心血量與心輸出量驟變並增加血壓與心臟負荷，對心臟病人危險，運動時應保持規律呼吸避免閉氣，故應選B。選項A運動前暖身5～10分鐘可逐步提升心率避免驟增負荷，正確；選項C飯後血液集中於消化道，不宜立即運動以免心肌缺血，正確；選項D以（220－年齡）估算最大心率並取70～85%為運動強度目標，屬標準運動處方，正確。故閉氣的敘述違反原則。","Valsalva動作機轉：閉氣用力使胸內壓上升，先減少靜脈回流致血壓下降，解除瞬間又反彈血壓驟升與心律變化，對冠心病與心衰竭者可能誘發心律不整或心肌缺血。心臟復健強調暖身、規律呼吸、循序漸進與運動後緩和。最大心率公式（220－年齡）是估算運動強度的基準，靶心率取其百分比。",[24,26,28,30],{"term":25,"count":10},"心臟復健運動原則",{"term":27,"count":10},"Valsalva動作危害",{"term":29,"count":10},"規律呼吸避免閉氣",{"term":31,"count":10},"最大心率公式220減年齡",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-028","下列何項檢查無法評估心輸出量？",28,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-044","有關皮膚系統附屬物之敘述，下列何者錯誤？",44,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-058","有關促進急性呼吸窘迫症候群（ARDS）病人有效呼吸道清除的護理措施，下列何者正確？",58,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-016","白老太太 76 歲，有高血壓及糖尿病，配戴假牙，下列何者不是預防齲齒的護理指導？",16,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-060","有關前列腺癌之敘述，下列何者錯誤？",60,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-024","林小姐，45 歲，近三個月反覆發燒入院，診斷急性骨髓性白血病（AML），為了判定化學治療或骨髓移植的治療效果，進行骨髓抽吸術，下列敘述何者正確？①術中不用麻醉 ②骨髓抽吸僅檢查白血球的數目、大小 ③可於後腸骨嵴處抽取 ④術後需使用砂袋加壓",24,113,3,"2026-09-04",1788510712563]