[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":65},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-2-內外科護理學-058","nurse-110-2-medical-surgical-058",110,2,58,"護理一位出現肺水腫症狀與徵候的病人，下列措施之順序，何者最適當？①經由鼻導管給與 2 L\u002Fmin 氧氣治療 ②呼叫醫師 ③協助病人採高坐臥 ④準備床邊抽痰用物",{"A":14,"B":15,"C":16,"D":17},"①②③④","①④③②","②①③④","③①④②","D",null,[],"本題考點在肺水腫緊急處置的優先順序。面對肺水腫應先協助病人採高坐臥(③),藉重力使下肢靜脈回流減少、降低前負荷並增加肺部擴張以緩解呼吸困難;接著給予鼻導管氧氣(①)改善缺氧;再準備床邊抽痰用物(④)清除泡沫痰維持氣道;最後呼叫醫師(②)後續處置,故順序為③①④②,選D。其餘選項未把改善呼吸的擺位與氧合擺在最前,不符急救優先原則,故均非答案。","肺水腫急救記憶口訣LMNOP:Lasix(利尿)、Morphine(降前負荷與焦慮)、Nitrates(血管擴張)、Oxygen(氧氣)、Position(端坐)。護理即刻處置優先擺位與氧合:高坐臥使靜脈回流下降、橫膈下降利於呼吸。順序邏輯遵循先執行可立即改善呼吸的措施,再處理需醫師介入者。可連結端坐呼吸(orthopnea)為左心衰竭與肺水腫的典型表現。",[24,27,30,33,35],{"term":25,"count":26},"肺水腫",9,{"term":28,"count":29},"前負荷",7,{"term":31,"count":32},"高坐臥",1,{"term":34,"count":32},"急救優先順序",{"term":36,"count":32},"LMNOP",[38,42,47,51,56,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-medical-surgical-059","有關以定量吸入器（MDI）方式給藥的敘述，下列何者錯誤？",59,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-111-1-medical-surgical-075","有關使用 Spironolactone（Aldactone）藥物指導之敘述，下列何者正確？①須注意鉀離子濃度 ②須注意鎂離子濃度 ③鼓勵多食用柑橘類食物 ④不宜食用芭樂",75,111,{"webId":48,"stem":49,"number":26,"year":50,"session":32},"nurse-112-1-medical-surgical-009","B 型肝炎病毒帶原者且 HBeAg（+），下列敘述何者正確？",112,{"webId":52,"stem":53,"number":54,"year":50,"session":55},"nurse-112-3-medical-surgical-047","有關甲狀腺功能亢進病人的飲食指導，下列何者不適當？",47,3,{"webId":57,"stem":58,"number":32,"year":59,"session":10},"nurse-114-2-medical-surgical-001","有關巴金森氏症（Parkinson’s disease）的主要典型症狀，下列敘述何者正確？①震顫 ②吞嚥困難 ③僵硬 ④運動遲緩 ⑤腹瀉",114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-medical-surgical-045","副甲狀腺切除術後易發生下列何種現象？",45,115,"2026-09-04",1788510729334]