[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-111-1-基本護理學與護理行政-028","nurse-111-1-fundamental-nursing-028",111,1,28,"古先生，腳踝扭傷，護理師給予冷敷其腳踝。30 分鐘後，古先生主訴其肢體出現發紅的現象，此現象是屬於何種效應？",{"A":15,"B":16,"C":17,"D":18},"反彈現象","溫度的適應性","遠處效應","交感性反應","A",null,[],"本題考點為冷療的反彈現象(rebound phenomenon)。冷敷持續超過約 30～60 分鐘,身體為維持組織灌流與避免缺血壞死,會啟動保護性反應使原本收縮的血管轉為擴張,局部出現發紅發熱,此即反彈現象,故選 A。B 溫度適應性指的是感覺受器對持續冷熱刺激逐漸不敏感的知覺鈍化,不涉及血管顏色改變。C 遠處效應(consensual response)指刺激身體一側會引起對側相同反應,與此局部發紅無關。D 交感性反應非本題正解描述,發紅是局部血管反彈擴張所致而非交感神經興奮。","反彈現象又稱獵人反應(Hunting reaction),機轉是長時間冷刺激使組織有缺血凍傷之虞,身體反射性間歇擴張血管以恢復灌流,結果治療效益反轉(想止血消腫卻充血)。臨床鐵律:冷敷或熱敷單次以 15～30 分鐘為限,避免反彈。對比記憶——熱敷過久也有反彈:熱→血管擴張過久後反射性收縮。溫度適應性則解釋為何剛冷敷很冰、一會兒就不覺冷,屬感覺神經鈍化而非血管變化。",[25,28,30,32],{"term":26,"count":27},"血管擴張",11,{"term":15,"count":29},4,{"term":31,"count":11},"獵人反應",{"term":33,"count":11},"冷療時間限制",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-fundamental-nursing-029","吳老先生住院多日未解便，醫囑給予意福灌腸液（EVAC enema）行小量灌腸，下列敘述何者正確？",29,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-111-2-fundamental-nursing-045","管灌食物的注意事項，下列何者錯誤？",45,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-112-1-fundamental-nursing-059","下列那些管理理論被歸類行為科學學派？①史密斯（Smith）的 L 理論 ②馬斯洛（Maslow）的需要層次理論 ③麥克葛羅格（McGregor）的 XY 理論 ④摩斯與洛斯奇（Morse and Lorsch）的權變理論",59,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-1-fundamental-nursing-047","根據 Donabedian（1966）醫療品質評估之概念架構，下列何者是醫院「過程面」的評估指標？①護理紀錄完整性 ②手術前預防性給與抗生素比率 ③可執行細胞治療之醫師比率 ④病人死亡率",47,113,{"webId":55,"stem":56,"number":11,"year":57,"session":58},"nurse-114-3-fundamental-nursing-001","有關隔離措施，下列敘述何者最適當？",114,3,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-1-fundamental-nursing-045","護理師教導林先生執行患側下肢膝蓋下壓貼近床面的運動，此項運動為：",106,"2026-09-04",1788510733672]