[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-031":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-109-2-基本護理學與護理行政-031","nurse-109-2-fundamental-nursing-031",109,2,31,"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？",{"A":15,"B":16,"C":17,"D":18},"調慢點滴流速並抬高頭部","停止輸液並抬高下肢","停止輸液並採左側臥","調慢點滴流速並採右側臥","A",null,[],"本題考點為靜脈輸注併發循環負荷過量（circulatory overload）的立即處置。此併發症因輸液過快過多致血容量驟增、肺水腫，處置原則為減少回心血量並改善呼吸，故應調慢點滴流速並抬高頭部（採高坐臥或半坐臥），使膈肌下降、減輕呼吸費力，選A。抬高下肢或平躺會增加靜脈回流、加重心肺負荷，故B、C的臥位方向錯誤；此併發症一般先調慢而非全然停止輸液以維持靜脈通路。右側臥或左側頭低臥是空氣栓塞的處置，用錯併發症。","循環負荷過量（輸液過量）表現：呼吸困難、頸靜脈怒張、血壓上升、咳粉紅色泡沫痰、肺囉音。處置：調慢或停輸液、採高坐臥（端坐呼吸）、給氧，必要時給利尿劑與嗎啡。對比其他併發症的臥位：空氣栓塞採左側頭低臥（使氣泡留在右心尖）。循環負荷過量採高坐臥護心肺，勿混淆兩者臥位方向。",[25,28,30,33],{"term":26,"count":27},"靜脈回流",8,{"term":29,"count":11},"肺水腫",{"term":31,"count":32},"循環負荷過量 circulatory overload",1,{"term":34,"count":32},"高坐臥姿",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-fundamental-nursing-032","病人使用 Nystatin（Mycostatin）含漱後吞服，主要是治療口腔何種細菌感染？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-fundamental-nursing-048","長期側臥不動的病人，容易發生壓瘡部位為何？①耳朵 ②枕骨 ③腸骨嵴 ④尾椎骨 ⑤踝部",48,110,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-110-2-fundamental-nursing-062","管理者在新年度編列預算時，不考量過去年度的預算而重新編列，這是屬於下列何種預算？",62,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-112-1-fundamental-nursing-020","林先生行闌尾切除手術後返回病房，醫囑「N.P.O.」、「Demerol 1 amp I.M. st & q6h p.r.n.」、「Cefazolin 1 gm I.V. drip q8h」，下列敘述何者錯誤？",20,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-113-1-fundamental-nursing-014","熱敷時間超過45分鐘，會引起血管收縮屬於下列何種狀況？",14,113,{"webId":60,"stem":61,"number":27,"year":62,"session":11},"nurse-114-2-fundamental-nursing-008","關於護理評值（nursing evaluation）的敘述，下列何者正確？",114,"2026-09-04",1788510715739]