[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-047","nurse-109-2-fundamental-nursing-047",109,2,47,"有關鼻胃管灌食與照護之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"鼻胃管插管後，確認管子位置正確，可立即進行灌食","灌食後，讓病人維持半坐臥姿勢 30 分鐘以上","灌食前先灌 20 mL 溫開水，確定管路通暢並防食物黏附管壁","移除鼻胃管時請病人深吸氣後閉氣，平順快速抽出","A",null,[],"本題考點為鼻胃管灌食與照護，須選出錯誤敘述。選項A為錯誤：初次插入鼻胃管後不宜僅憑一次確認就立即灌食，首次應以X光確認管端位置，且每次灌食前需反抽並多重確認位置與胃內殘餘量，故「確認位置正確可立即進行灌食」的敘述不夠嚴謹而被判為錯，選A。其餘為正確做法：灌食後維持半坐臥30分鐘以上可防逆流與吸入（B）；灌食前先灌約20 mL溫開水確認管路通暢並防食物黏附（C）；移除鼻胃管時請病人深吸氣後閉氣、平順快速拔除以避免吸入（D）。","鼻胃管安全灌食要點：位置確認——首次以X光為黃金標準，床邊可用pH測試（胃抽出物pH小於等於5.5）與聽診法為輔，每次灌食前反抽確認並評估胃殘餘量；體位——灌食及灌食後30至60分鐘維持半坐臥30至45度，降低逆流性吸入肺炎；通暢——前後以溫開水沖管防阻塞；拔管——閉氣快速拔除避免吸入。誤放氣管的灌食可致嚴重吸入，故位置確認是核心。",[25,28,30,32],{"term":26,"count":27},"鼻胃管灌食照護",1,{"term":29,"count":27},"管端位置確認",{"term":31,"count":27},"灌食後半坐臥防逆流",{"term":33,"count":27},"移除鼻胃管閉氣",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-048","林女士，診斷淋巴癌，化學治療期間有噁心嘔吐、口腔出現疼痛、紅斑合併多處潰瘍，其口腔護理措施，下列何者適當？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-110-1-fundamental-nursing-064","某病房 40 床，一年實際上班天數為 258 天，每日工時 8 小時，共 16 位護理師，5 月份有 3 位護理師離職，為維持每位病人每天護理時數為 4 小時，可以控制下列那一項？",64,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-078","護理長為表示所管理的單位無弱兵，展現高的領導能力，並給予員工高的評價，此種績效考評效應為：",78,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-112-1-fundamental-nursing-036","為預防病人髖關節外旋，可使用下列何種支托物？①砂袋 ②粗隆捲軸 ③氣墊床 ④床上護架",36,112,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-113-1-fundamental-nursing-030","病人走路滑倒導致右手臂骨折，護理師使用三角巾為病人執行托懸臂包紮法，下列何者為正確的方式？ ① 協助病人右手肘關節彎曲小於90度，手掌朝上，手腕高於肘部 ②協助病人右手肘關節彎曲大於90度，手腕不可下垂 ③協助病人右手肘關節彎曲維持90度，手腕自然下垂 ④三角巾底角最後於病人右側肩上打上平結 ⑤三角巾底角最後於病人左側肩上打上平結",30,113,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-114-2-fundamental-nursing-024","有關影響體溫的因素，下列何者錯誤？",24,114,"2026-09-04",1788510715885]