[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-008":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-110-2-基本護理學與護理行政-008","nurse-110-2-fundamental-nursing-008",110,2,8,"李先生因車禍造成腦部創傷，手術後一個月，生命徵象穩定但意識不清、需長期臥床，此時較合適使用何種方式提供營養？",{"A":15,"B":16,"C":17,"D":18},"由口進食","鼻胃管灌食法","口胃管灌食法","腸胃道造口管灌食法","B",null,[],"本題考點為意識不清且需長期臥床病人的營養供給方式選擇。考點在於病人意識不清、吞嚥反射不可靠，由口進食易造成吸入性肺炎，而其腸胃道功能正常、生命徵象穩定，此時經鼻胃管灌食可安全提供腸道營養，故選B。A由口進食有嗆咳誤吸風險，不適用。C口胃管多用於鼻部阻塞或新生兒短期，非首選。D腸胃道造口管屬侵入手術，通常保留給需長期（數月以上）灌食且無法經鼻者，此情境以鼻胃管較合適。","腸道有功能時應優先使用腸道營養（enteral），較全靜脈營養安全並維持腸黏膜完整。灌食前後抬高床頭30至45度、確認管路位置與胃殘量可降低吸入風險。記憶：能用腸道就用腸道；短中期用鼻胃管，長期（一般超過4至6週）評估造口（如PEG）。可連結：吸入性肺炎預防、腸道營養原則、吞嚥評估。",[25,28,30,33],{"term":26,"count":27},"鼻胃管灌食",6,{"term":29,"count":11},"腸道營養",{"term":31,"count":32},"吸入性肺炎風險",1,{"term":34,"count":32},"意識不清吞嚥",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-fundamental-nursing-009","髖部全關節運動，不包括下列何者？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-fundamental-nursing-025","有關用熱治療所產生全身性反應的敘述，下列何者正確？①血壓上升 ②頭暈 ③呼吸變慢 ④脈搏加速",25,111,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-111-2-fundamental-nursing-039","關於換氣過度（hyperventilation）的特徵，下列敘述何者正確？①一種較正常慢而淺的呼吸 ②一種深而快的呼吸 ③造成血液中 CO 2 下降，而 O 2 上升 ④造成血液中 O 2 下降，而 CO 2 上升",39,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-112-2-fundamental-nursing-077","有關醫療常用的風險管理工具，下列何者屬於事前分析？",77,112,{"webId":55,"stem":56,"number":32,"year":57,"session":32},"nurse-114-1-fundamental-nursing-001","依據疾病自然史發展，在疾病的易感染期欲將危險因子去除或減至最低，可提供何種預防方法？",114,{"webId":59,"stem":60,"number":61,"year":62,"session":32},"nurse-115-1-fundamental-nursing-045","有關良好溝通管道之要件，下列何者錯誤？",45,115,"2026-09-04",1788510728092]