[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-045":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-045","nurse-111-1-fundamental-nursing-045",111,1,45,"有關鼻胃管灌食造成的副作用，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"液體攝入過多會造成便秘","高濃度配方多會造成便秘","配方中鈉太少會造成水腫","灌入速度太快易造成腹瀉","D",null,[],"本題考點為鼻胃管灌食副作用的成因。灌食速度太快時,大量食物快速進入腸道使腸內滲透壓與容積驟增、腸蠕動加速,水分來不及吸收而造成腹瀉(傾食症候群樣反應),故 D 正確。A 錯在液體攝入過多通常使糞便變軟或腹瀉,不會造成便秘;水分不足才易便秘。B 錯在高濃度(高滲透)配方會將水分吸入腸腔造成腹瀉,而非便秘。C 錯在配方中鈉太少一般不直接造成水腫;水腫與鈉的關係是鈉過多致水分滯留,鈉太少反而可能低血鈉。整體考的是灌食速度、濃度、滲透壓對腸道的影響方向。","管灌腹瀉常見原因:灌速過快、配方高滲透壓、配方溫度過低、乳糖不耐、配方污染、抗生素改變腸道菌叢。預防:灌食速度放慢、採等滲配方或漸進增加濃度、配方回溫至室溫、注意清潔。便秘則多因水分或纖維不足、活動量少。高滲配方使腸腔內滲透壓上升,依滲透原理把體液拉入腸道,增加腸內容積刺激蠕動而腹瀉——這與傾食症候群機轉相似。記憶:管灌太快、太濃、太冷都容易拉肚子。",[25,27,29,31],{"term":26,"count":11},"鼻胃管灌食副作用",{"term":28,"count":11},"灌食速度與腹瀉",{"term":30,"count":11},"配方滲透壓",{"term":32,"count":11},"腸蠕動",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-fundamental-nursing-046","下列那個受壓處不是長期平躺的好發部位？",46,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-111-2-fundamental-nursing-062","Mayo 和 Roethlisberger 共同主持的霍桑實驗，研究「工作條件改變與員工工作績效之間的關係」，最後所作的研究結論，下列敘述何者正確？",62,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-112-1-fundamental-nursing-076","有關組織控制幅度（span of control）的敘述，下列何者正確？",76,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-fundamental-nursing-014","關於用熱的合併症，下列敘述何者錯誤？",14,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-fundamental-nursing-018","有關健康成人泌尿道的排泄，下列敘述何者最適當？",18,114,3,{"webId":60,"stem":61,"number":41,"year":62,"session":11},"nurse-106-1-fundamental-nursing-062","護理部計畫門診半年後門診護理師將參與醫院社區醫療服務，此作業的改變過程，門診護理師屬於：",106,"2026-09-04",1788510733867]