[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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-038","nurse-110-2-fundamental-nursing-038",110,2,38,"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？",{"A":15,"B":16,"C":17,"D":18},"減少胸內壓","增加靜脈血回流至右心房","增加身體氧合功能","減低心搏出量","D",null,[],"本題考點在伐氏操作(Valsalva maneuver)的血流動力學效應。用力閉氣解便時聲門緊閉、腹壓與胸內壓驟升，壓迫胸腔大靜脈使靜脈回流(前負荷)減少，心室充盈下降，依 Frank-Starling 機轉每搏輸出量與心搏出量隨之下降，選 D。故 A 減少胸內壓方向相反(實為升高)；B 增加靜脈回流相反(實為減少)；C 增加氧合亦無依據，閉氣期反而不利氣體交換，故均錯。","Valsalva 分四期：用力初期血壓短暫上升，持續期靜脈回流下降致血壓與心輸出量降、反射性心跳加快；解除後回流湧入、血壓反彈、迷走神經反射使心跳變慢。臨床風險：排便瞬間可能誘發心律不整或暈厥(排便性昏厥)，心肌梗塞病人尤須避免用力。記憶：閉氣壓胸腔、血回不來、心輸出降。",[25,28,30,33,35],{"term":26,"count":27},"靜脈回流",8,{"term":29,"count":11},"心搏出量",{"term":31,"count":32},"Valsalva maneuver",1,{"term":34,"count":32},"胸內壓",{"term":36,"count":32},"Frank-Starling 機轉",[38,42,47,51,57,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-2-fundamental-nursing-039","王女士，罹患腦瘤，頭部曾接受放射線照射治療，協助其洗髮時，下列敘述何者最適當？",39,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-111-1-fundamental-nursing-055","有關屍僵的敘述，下列何者正確？①屍僵通常在死亡後 6～8 小時發生 ②屍僵乃因血液凝固而引起 ③小肌肉較大肌肉先發生屍僵 ④屍僵發生多由頭頸部開始",55,111,{"webId":48,"stem":49,"number":50,"year":46,"session":11},"nurse-111-2-fundamental-nursing-069","A 病房甲醫師經常出現情緒性字眼，護理人員無法忍受請護理長協助。護理長找 A 病房的病房主任（醫師）溝通，屬於下列何種溝通類型？",69,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-112-3-fundamental-nursing-027","病人長期臥床易導致的營養與代謝改變，下列敘述何者正確？",27,112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-114-1-fundamental-nursing-031","構成牙齒及骨骼的礦物質，除了鈣之外，主要成分還包括以下何者？①鋅    ②鉀   ③鎂   ④磷",31,114,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-115-2-fundamental-nursing-025","影響病人血壓下降的因素，下列何者正確？①年長者 ②過敏性休克 ③飲用紅酒 ④服用類固醇",25,115,"2026-09-04",1788510728365]