[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-029":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":11},"nurse-111-2-基本護理學與護理行政-029","nurse-111-2-fundamental-nursing-029",111,2,29,"有關灌腸時肛管插入的深度及大小的選擇，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"兒童肛管插入深度約 2.5～4.5 公分","成人肛管插入深度約 5～7 公分","兒童小量灌腸宜選用 19～20 Fr.的肛管","成人大量灌腸宜選用 22～24 Fr.的肛管","D",null,[],"本題考點是灌腸時肛管插入深度與管徑的選擇。依成人大量灌腸的標準,宜選用22～24 Fr.的粗肛管以利大量溶液灌入,故D正確。A錯誤,兒童肛管插入深度約2.5～3.75公分,「2.5～4.5公分」上限偏高。B錯誤,成人肛管插入深度約7.5～10公分,「5～7公分」偏淺。C錯誤,兒童小量灌腸應選較細的肛管(約10～12 Fr.),「19～20 Fr.」過粗易致腸黏膜損傷。考點在於辨識成人與兒童在插入深度與管徑選擇上的差異,牢記成人大量灌腸用粗管、兒童用細管且深度較淺。","灌腸參數依年齡與灌腸類型調整。插入深度:成人約7.5～10公分、兒童約2.5～3.75公分、嬰兒約2.5公分,以越過肛門內括約肌並避免穿孔為度。管徑:成人大量灌腸22～24 Fr.、成人小量或兒童用較細管。溶液量與高度亦有別:大量灌腸溶液袋高於肛門約30～45公分,過高壓力大。記憶:大人大管深、小孩細管淺。插管動作須配合病人張口呼吸放鬆括約肌,遇阻力不可強推以防腸穿孔。",[25,27,30,32],{"term":26,"count":11},"肛管插入深度",{"term":28,"count":29},"灌腸技術",1,{"term":31,"count":29},"肛管管徑Fr.",{"term":33,"count":29},"成人兒童差異",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-030","楊女士接受子宮全切除手術，術後使用 Morphine PCA (patient controlled analgesia)和靜脈輸液持續滴注，術後第一天楊女士移除 foley 後 6 小時仍尚未解尿，觸診下腹部膀胱處鼓脹，下列何者不是有關其尿瀦留的原因？",30,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-fundamental-nursing-046","下列疾病與異常呼吸的敘述何者錯誤？",46,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-060","護理部指派護理長籌備新病房，其中有關訂定人員的工作說明書及職責，屬於下列何項護理管理過程？",60,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-028","病人因中風右側肢體無力，護理師指導家屬幫其執行右側肢體的全關節運動，下列敘述何者正確？",28,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-fundamental-nursing-032","面臨末期病人即將離世，有關家屬哀傷支持之敘述，下列何者最適當？",32,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-046","約束病人時，需注意肢體血液循環，有關評估方式：C.T.M.S.的敘述，下列何者錯誤？",106,"2026-09-04",1788510737740]