[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-015":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-111-2-基本護理學與護理行政-015","nurse-111-2-fundamental-nursing-015",111,2,15,"護理師依照醫囑給予病人 Inteban 1 # Supp. St.退燒時，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"配合乙狀結腸及降結腸的解剖位置，故協助採右側臥位","請病人深呼吸閉氣，將藥物塞入肛門內約 2 公分","當發現腸道有糞團時，應避開糞團或小量灌腸將糞便清除，以免影響藥物吸收","當病人主訴頭痛、冒冷汗時，請病人忍耐並取衛生紙壓住肛門口，以促進藥物吸收","C",null,[],"本題考點是肛門栓劑(Inteban Supp.,indomethacin)的正確給藥技術。依肛門及乙狀結腸解剖走向,採左側臥位可順應腸道弧度利於栓劑推入,故A的「右側臥位」錯誤。栓劑塞入深度成人約需超過肛門內括約肌,約需插入至直腸內,而B僅塞入2公分過淺、易滑出,且塞栓時應請病人張口呼吸放鬆肛門括約肌而非閉氣,故B錯誤。若直腸內有糞團會阻礙栓劑接觸黏膜吸收,應先避開糞團或小量灌腸清除糞便,故C正確。D要求病人忍耐頭痛冒冷汗屬迷走神經反射警訊,忽視恐致危險,故D錯誤。考點在於辨識影響栓劑吸收與安全的正確步驟。","肛門栓劑吸收依賴直腸黏膜血流,直腸下段靜脈可部分繞過肝臟首渡效應,故生體可用率較口服穩定。糞團佔據直腸會使栓劑無法貼附黏膜溶解,清除糞便是吸收前提。左側臥(Sims氏臥位)順應乙狀結腸解剖,是灌腸與塞栓的通用擺位。indomethacin為NSAID,退燒同時可能刺激迷走神經引起頭暈冒汗,屬應警覺的反應而非忍耐指標。記憶:栓劑三要—左側臥、張口呼吸放鬆、越過內括約肌。",[25,28,30,32],{"term":26,"count":27},"肛門栓劑給藥技術",1,{"term":29,"count":27},"Sims氏左側臥位",{"term":31,"count":27},"直腸解剖與藥物吸收",{"term":33,"count":27},"indomethacin",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-016","醫囑：Unasyn 750 mg I.V.D q.6.h，現有 Unasyn 2 gm\u002Fvial 粉劑，以無菌蒸餾水稀釋粉劑成總量 4 c.c. 後，應抽出多少 c.c. 才符合此次注射劑量？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-112-1-fundamental-nursing-032","有關成人泌尿道感染的敘述，下列何者錯誤？",32,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-046","有關 Braden 壓傷風險評估量表，其評估項目下列何者除外？",46,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-014","醫囑：Gentamycin ® 30 mg Q6H I.V. drip in 30 c.c. N\u002FS（IV bag）需滴注 30 分鐘。若使用流速 60 gtts\u002Fc.c.的微滴套管，須調整每分鐘多少滴數，才會如期滴完？",14,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-1-fundamental-nursing-018","醫囑：「G 5W 1,000 mL＋G 5S 500 mL, I.V.F., QD」，此靜脈輸液可提供的熱量，一天約為多少大卡（Kcal）？",18,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-032","在大量灌腸過程中，病人主訴感到輕微腹痛時，護理師採用的護理措施，下列何者正確？",106,"2026-09-04",1788510737618]