[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-110-1-基本護理學與護理行政-021","nurse-110-1-fundamental-nursing-021",110,1,21,"李先生是使用 Digoxin 治療的病人，下列何者是護理師依醫囑繼續給藥的最重要依據？",{"A":15,"B":16,"C":17,"D":18},"心率 64 次／分鐘","血壓 120\u002F80 mmHg","心率 52 次／分鐘","呼吸 18 次／分鐘","A",null,[],"本題考點是給予毛地黃（Digoxin）前的必要監測依據。依用藥安全原則，給藥前須測一分鐘心尖脈，成人心率低於每分鐘 60 次應暫停給藥，故護理師判斷可續給的最重要依據是心率，A 心率 64 次／分高於門檻、可續給，為正解。C 心率 52 次／分已低於 60，屬應停藥的警訊；B 血壓 120／80 mmHg 雖正常，但 Digoxin 主要影響心率與傳導、血壓非給藥門檻；D 呼吸 18 次／分為正常值，與心臟監測無直接關係。考點在記得「Digoxin 給藥前數心尖脈、＜60 停藥」這條鐵律。","Digoxin 為強心配醣體，正性肌力同時具負性頻率作用，會減慢竇房與房室結傳導，過量易致心搏過緩與各式心律不整。故監測聚焦心率與中毒徵象（噁心、視覺黃綠光暈、心律不整），並注意低血鉀會加重毒性。門檻值：成人＜60、兒童＜90～100、嬰兒＜110 暫停給藥，依年齡遞增記憶。",[25,28,30,32],{"term":26,"count":27},"心搏過緩",3,{"term":29,"count":11},"Digoxin 毛地黃",{"term":31,"count":11},"心尖脈監測",{"term":33,"count":11},"給藥安全門檻",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-1-fundamental-nursing-022","給予幼兒左耳耳滴藥治療時，應採取的姿勢，下列敘述何者正確？①頭側向右側 ②頭側向左側 ③將耳翼向上向後拉 ④將耳垂向下向後拉",22,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-110-2-fundamental-nursing-038","長期臥床病人若採取伐式操作法（Valsava’s maneuver）用力解便，可能導致下列何種情況？",38,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-111-1-fundamental-nursing-052","護理師協助收集常規尿液檢查，發現尿液呈現螢光黃色，下列何者為最可能之原因？",52,111,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-112-2-fundamental-nursing-010","有關護理人員執行紀錄的敘述，下列何者錯誤？",10,112,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-113-2-fundamental-nursing-034","李先生剛從開發中國家入境，因發燒不適住院，護理師協助收集糞便檢體，下列敘述何者正確？",34,113,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-114-3-fundamental-nursing-028","有關營養評估的生化檢驗指標，下列敘述何者最不適當？",28,114,"2026-09-04",1788510720070]