[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-110-2-基本護理學與護理行政-043","nurse-110-2-fundamental-nursing-043",110,2,43,"下列病人情境，何者適合執行灌腸？",{"A":15,"B":16,"C":17,"D":18},"王女士平日無便秘，不明原因腹絞痛兩天，有裏急後重感","王先生吃麻辣鍋後，肛門口痔瘡腫痛厲害，排便困難","王太太懷孕 28 週，住院臥床安胎，輕微宮縮，多日未解便","王太太下肢骨折住院，多日未解便，腹脹不適","D",null,[],"本題考點在灌腸的適應症與禁忌症。灌腸適用於單純性便秘、糞便嵌塞或術前腸道準備；下肢骨折臥床、多日未解便且腹脹者屬活動受限造成的單純便秘，適合灌腸，選 D。不明原因腹絞痛合併裏急後重(A)可能為腸道發炎或病變，未確診前灌腸恐加重；痔瘡腫痛、排便困難(B)灌腸管會刺激傷口出血；懷孕安胎、有子宮收縮者(C)灌腸刺激可能誘發子宮收縮致早產，均為禁忌。","灌腸禁忌：急性腹症、腸阻塞或穿孔疑慮、近期腸道手術、嚴重痔瘡或肛門病灶、不穩定心血管狀態、以及可能誘發早產的孕婦。裏急後重(tenesmus)提示直腸發炎或病灶，屬紅旗症狀。灌腸機轉：藉液體容積擴張與刺激腸壁引發蠕動排便。記憶禁忌：不明腹痛、痔瘡出血、安胎宮縮不可灌。",[25,28,30,33],{"term":26,"count":27},"灌腸禁忌症",3,{"term":29,"count":11},"安胎",{"term":31,"count":32},"灌腸適應症",1,{"term":34,"count":32},"裏急後重",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-fundamental-nursing-044","下列何者是最可能發生心搏速率 > 100 次／分的情況？",44,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-fundamental-nursing-060","有關明茲柏格（Henry Mintzberg）的管理者角色，下列敘述何者正確？",60,111,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-111-2-fundamental-nursing-074","醫院評鑑時，一位腦部手術後 7 天剛從加護病房轉出的病人，目前有尾骶骨壓傷、傷口感染、無人照顧等問題，下列何項為查證重點？① 加護病房預防壓傷之標準流程及執行狀況 ②供應中心器械消毒流程 ③開刀房手術中之病人安全防護措施 ④病房的儀器保養計畫",74,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-112-3-fundamental-nursing-032","病人腦死判定應符合的先決條件，下列敘述何者錯誤？",32,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-114-1-fundamental-nursing-036","有關使命或任務之敘述，下列何者正確？",36,114,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-115-2-fundamental-nursing-030","有關中央靜脈營養療法，下列敘述何者錯誤？",30,115,"2026-09-04",1788510728407]