[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-030":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-109-2-基本護理學與護理行政-030","nurse-109-2-fundamental-nursing-030",109,2,30,"0.45% NaCl 靜脈輸注溶液，適用於下列何者情境？",{"A":15,"B":16,"C":17,"D":18},"脫水","營養不良","嚴重燒傷","顱內壓過高","A",null,[],"本題考點為0.45% NaCl（半張、低張溶液）的適用情境。其滲透壓低於血漿，輸注後水分由血管進入細胞內，可補充細胞內脫水，故適用於脫水（尤其高血鈉、細胞內缺水）病人，選A。選項B營養不良需熱量與蛋白質補充，非低張電解質液所能處理；選項C嚴重燒傷大量體液流失，需等張晶體液（如乳酸林格氏液）維持血容量，低張液會加重血管內容量不足；選項D顱內壓過高使用低張液會使水分移入腦細胞、加重腦水腫，屬禁忌。判斷關鍵在低張液「補細胞內水」的特性。","輸液張力分類：等張（0.9% NaCl、乳酸林格氏液）維持血管內容量，用於失血、燒傷；低張（0.45% NaCl、0.3% NaCl）補細胞內水，用於高血鈉性脫水，禁用於顱內壓高、燒傷與第三間隙滲漏；高張（3% NaCl、TPN）把水拉出細胞外，用於低血鈉、腦水腫。記憶：低張「進細胞」故腦水腫禁用，高張「拉水出細胞」可降顱壓。",[25,28,31,33],{"term":26,"count":27},"滲透壓",5,{"term":29,"count":30},"0.45% NaCl 低張溶液",1,{"term":32,"count":30},"細胞內脫水",{"term":34,"count":30},"顱內壓與低張液禁忌",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-fundamental-nursing-031","靜脈輸注時，當病人出現循環負荷過量（circulatory overload），下列立即措施，何者最適當？",31,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-110-1-fundamental-nursing-047","在鼻胃管灌食中，有關食物快灌完時，要再灌入少量溫開水的主要目的，下列敘述何者正確？",47,110,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-110-2-fundamental-nursing-061","有關規劃護理管理工作的主要目的，下列何者錯誤？",61,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-112-1-fundamental-nursing-019","執行醫囑「Ampicillin 250 mg I.M. q8h」，下列何者正確？",19,112,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-113-1-fundamental-nursing-013","病人罹患急性結膜炎，醫囑開立Emadine® oph. solution. 1gtt. O.U. QID及Devirus® oph. oint. O.U. QID，給眼藥過程下列措施何者錯誤？",13,113,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-114-2-fundamental-nursing-007","護理師執行醫囑「Dopamine（200 mg\u002F5 mL\u002Famp）4 amp in NS 500 c.c., IV Drip, pump 使用」時，下列敘述何者錯誤？",7,114,"2026-09-04",1788510715726]