[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-111-1-基本護理學與護理行政-044","nurse-111-1-fundamental-nursing-044",111,1,44,"短腸症病人以全靜脈營養（TPN）方式供給營養，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"全靜脈營養溶液瓶口應採雙重消毒，預防感染","連續輸注過程中，如營養配方來不及送達，可用 10%葡萄糖溶液代替","輸注管路需 72 小時更換，並觀察穿刺處有無感染","發生空氣栓塞時應採頭部放低，並採左側臥位","C",null,[],"本題考點為全靜脈營養(TPN)照護,選「錯誤」者。C 敘述錯誤:TPN 因高糖高濃度、屬細菌黴菌良好培養基,輸注管路應每 24 小時更換一次(而非 72 小時),以降低導管相關血流感染風險,故選 C。A 正確,TPN 溶液瓶口採雙重消毒可預防污染。B 正確,連續輸注若配方來不及送達,可暫以 10% 葡萄糖溶液銜接,避免因突然停止高糖輸注造成反彈性低血糖。D 正確,發生空氣栓塞時應採頭低腳高並左側臥(Trendelenburg 加左側臥),使空氣滯留於右心房尖端、避免進入肺動脈。整體考的是 TPN 的感染控制與併發症處置細節。","TPN 經中心靜脈給予高滲透壓營養液,主要風險為感染(高糖利菌)、代謝異常(高\u002F低血糖)、空氣栓塞、氣胸(置管時)。因感染風險高,TPN 專用管路一般每 24 小時更換、且不與其他輸液共管、不從此管抽血或給藥。突然中斷高糖輸注會因胰島素仍高而反彈性低血糖,故需以 10% 葡萄糖過渡並逐步減量。空氣栓塞處置:立即夾管、左側臥加頭低位(Durant's maneuver),讓空氣困在右心室無法進入肺循環,並給氧。",[25,27,29,31],{"term":26,"count":11},"全靜脈營養",{"term":28,"count":11},"管路 24 小時更換",{"term":30,"count":11},"空氣栓塞處置",{"term":32,"count":11},"反彈性低血糖預防",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-fundamental-nursing-045","有關鼻胃管灌食造成的副作用，下列敘述何者正確？",45,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-111-2-fundamental-nursing-061","有關管理學專家道格拉斯（Douglass）提出的管理過程，包括下列那些項目？①確認基層人員需求 ②進行現況分析 ③擬定政策與方案 ④建立護理標準 ⑤應用領導與影響力",61,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-112-1-fundamental-nursing-075","衝突的發展過程中，當個體感受知覺衝突，且產生情緒反應時，屬於下列那一個階段？",75,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-fundamental-nursing-013","高血壓病人醫囑為 acetaminophen 1# P.O. QID、MgO 1# P.O. BID、nifedipine 30 mg 1# P.O. QD，凌晨 0：00 開始 NPO，今日上午 10：00 進行上腸胃道攝影，至 12：30 返回病室後測量生命徵象無異常，13：00 執行給藥，下列何者最適當？（備註：該院一天四次給藥常規時間為 9-13-18-21）",13,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-fundamental-nursing-017","使用冷、熱療法產生的生理反應，所達成的相同效果，下列敘述何者最適當？①減緩炎症反應 ②減緩疼痛 ③減緩關節僵硬 ④減緩充血與腫脹",17,114,3,{"webId":60,"stem":61,"number":41,"year":62,"session":11},"nurse-106-1-fundamental-nursing-061","某護理師負責照護 6 位病人，上午 9 點時測量生理指標及給藥。甲病人因疼痛要求止痛劑；乙病人血壓高，要求降壓劑；丙病人主訴胸部悶痛臉色發白，醫囑要立即做 EKG。以上情境中那一項是緊急且重要的工作？",106,"2026-09-04",1788510733863]