[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-111-1-內外科護理學-029","nurse-111-1-medical-surgical-029",111,1,29,"有關裝置心臟節律器之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"心律變慢時，可能是電池快沒電的徵象","每天需監測橈動脈至少 1 分鐘整","持續打嗝時，可利用 Valsalva 運動減緩打嗝","術後 6 週內避免抬重物","C",null,[],"本題考點是心臟節律器(pacemaker)病人的自我照護指導,採否定題。依節律器護理原則,持續性打嗝可能是節律器電極移位刺激橫膈或膈神經的徵象,應就醫檢查電極位置,而非自行以 Valsalva 運動處理;故選項 C『持續打嗝時可用 Valsalva 運動減緩』為不正確指導,選 C。A 正確,心律變慢可能反映電池電量不足,是需回診更換的警訊。B 正確,每天自測橈動脈脈搏至少 1 分鐘,監測心率是否低於設定值。D 正確,術後約 6 週內避免患側上肢抬重物或大動作,以免電極線移位。","節律器衛教核心:①每日固定測脈搏 1 分鐘,若持續低於設定頻率或忽快忽慢須回診;②術側手臂 4～6 週內勿高舉過肩、勿提重、勿劇烈甩動,防電極脫位;③避開強電磁場(MRI 須確認相容性、勿靠近強磁與電弧焊、手機置於對側),隨身攜帶識別卡;④警覺電量與移位徵象—頭暈、心悸、持續打嗝、肌肉抽動。持續打嗝提示電極刺激膈肌\u002F膈神經,屬移位警訊須就醫,不能靠 Valsalva 處理。",[24,27,29,31],{"term":25,"count":26},"術後患肢活動限制",2,{"term":28,"count":10},"心臟節律器護理",{"term":30,"count":10},"持續打嗝為電極移位徵象",{"term":32,"count":10},"每日監測脈搏",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-030","有關心因性休克之敘述，下列何者錯誤？",30,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-medical-surgical-046","有關皮膚惡性腫瘤病人的護理措施，下列何者錯誤？",46,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-060","有關泌尿道感染病人應多攝取之酸灰性食物，下列何者錯誤？",60,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-048","有關食物中毒之敘述，下列何者正確？",48,113,{"webId":53,"stem":54,"number":26,"year":55,"session":56},"nurse-114-3-medical-surgical-002","62 歲王女士，因在家突然四肢無力至急診，意識清楚，但四肢癱瘓、不能言語，可依指示轉動眼球和眨眼，下列那一部分功能最可能受損？",114,3,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-1-medical-surgical-046","預防疥瘡再發及傳染他人的護理指導，下列何者錯誤？",106,"2026-09-04",1788510734483]