[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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-026","nurse-110-1-fundamental-nursing-026",110,1,26,"0.33%食鹽水輸液適用於下列何種病人？",{"A":15,"B":16,"C":17,"D":18},"顱內壓過高","尿崩症","嚴重燒傷","營養不良","B",null,[],"本題考點是低張溶液的臨床適應症。0.33% 食鹽水的滲透壓低於血漿，屬低張溶液，輸入後水分移入細胞，適合補充細胞內脫水者；尿崩症因抗利尿激素不足致大量排出稀薄尿、造成高血鈉性細胞內脫水，正需低張液補水，故選 B。A 顱內壓過高者禁用低張液，因水分進入腦細胞會加重腦水腫；C 嚴重燒傷早期大量喪失等張性體液，需以等張晶體液（如乳酸林格）或膠體液擴容，低張液無效；D 營養不良核心是熱量與蛋白質不足，需營養支持而非低張補水。考點在連結「低張＝補細胞內水分」與尿崩症的高血鈉脫水。","滲透壓三分法：等張（0.9% NS、乳酸林格）維持血管內容積用於失血脫水；低張（0.45%、0.33% NS）補細胞內水分用於高血鈉、尿崩、細胞內脫水；高張（3% NS、D10W 以上）把水拉回血管用於低血鈉、腦水腫。尿崩症＝ADH 缺乏→稀尿→高血鈉，故配低張，是最典型的對應題。",[25,28,30,31],{"term":26,"count":27},"低張溶液",5,{"term":29,"count":27},"滲透壓",{"term":16,"count":11},{"term":32,"count":11},"高血鈉脫水",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-110-1-fundamental-nursing-027","林小姐因腦血管損傷住院中，靜脈注射在右手背，欲幫林小姐更衣，正確的順序為何？",27,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-110-2-fundamental-nursing-043","下列病人情境，何者適合執行灌腸？",43,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-111-1-fundamental-nursing-057","有關柏拉圖（Pareto）的 80\u002F20 法則，下列敘述何者正確？",57,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-fundamental-nursing-015","有關給藥的敘述，下列何者錯誤？",15,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-fundamental-nursing-039","直覺學者蓋瑞‧克萊恩（Gary Klein）提到決策的直覺能力要如何培養，下列敘述何者正確？①充實的知識 ②豐富的經驗 ③財富的累積 ④良好溝通能力",39,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-fundamental-nursing-033","腦腫瘤成年病人住院治療，護理師評估肌力時，發現病人左側手腳肌肉輕微收縮，但關節無法活動；最適合病人左側肢體的運動型態，下列何者正確？",33,114,3,"2026-09-04",1788510720115]