[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-032":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-032","nurse-111-2-fundamental-nursing-032",111,2,32,"下列那一種情況，病人的大便較不可能是黑色？",{"A":15,"B":16,"C":17,"D":18},"十二指腸潰瘍","直腸出血","服用鐵劑","吃太多豬肝","B",null,[],"本題考點是黑色糞便(黑便,melena)的成因辨識。依黑便的機轉,上消化道出血後血液經腸道消化分解,血紅素轉為黑色的硫化鐵,使糞便呈柏油樣黑色,故十二指腸潰瘍(A)出血屬上消化道出血會致黑便;服用鐵劑(C)因鐵化合物氧化亦使糞便變黑;吃太多豬肝(D)因富含鐵與血紅素也可能使糞色偏深黑。而直腸出血(B)屬下消化道遠端出血,血液未經消化即排出,糞便多呈鮮紅色血便而非黑色,故B「較不可能是黑色」,為正解。考點在於以出血部位對應糞色變化。","消化道出血依部位呈現不同顏色:上消化道(食道、胃、十二指腸)出血,血紅素經胃酸與腸道細菌作用轉為黑色硫化鐵,形成柏油樣黑便(melena);下消化道尤其直腸肛門出血,血液停留短、未經充分消化,呈鮮紅血便(hematochezia)。飲食(豬血、豬肝、鐵劑、鉍劑)可造成假性黑便。記憶:越上游、停越久→越黑;越下游、越新鮮→越紅。臨床評估黑便需搭配潛血檢查與出血量估計,鮮紅便則多提示下段病灶。",[25,28,30,32],{"term":26,"count":27},"黑便melena",1,{"term":29,"count":27},"上下消化道出血",{"term":31,"count":27},"血便hematochezia",{"term":33,"count":27},"鐵劑與飲食影響",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-033","護理師為老年病人執行背部護理時，下列何者錯誤？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-112-1-fundamental-nursing-049","對於繃帶包紮方法，下列敘述何者正確？",49,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-063","有關醫院環境安全管理系統的建構要項，下列何者正確？①室外空氣品質 ②廢棄物處理 ③噪音管理 ④毒化物管理",63,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-031","有關病人飲食衛教內容，下列敘述何者最適當？",31,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-1-fundamental-nursing-035","血液檢查結果，下列何者異常？",35,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-049","陳女士，68 歲，家管，主訴晚上睡不好做夢多，晚上躺床後不易入睡，白天容易打瞌睡，平常下午午睡約 45 分鐘，傍晚會外出買菜順便散步 30 分鐘，煮晚餐吃過飯後洗澡看電視，約 10 pm 上床睡覺習慣開著燈，6 am 起床。過去病史包含糖尿病與心臟病，目前服用降血壓藥、降血糖藥、利尿劑、強心劑等藥物規律控制中，根據以上敘述，下列那些因素最可能會影響陳女士的睡眠？①缺乏運動 ②午睡太久 ③多重用藥 ④強心劑如 Digoxin 易導致惡夢 ⑤生活不規律 ⑥夜間睡眠燈光太亮",106,"2026-09-04",1788510737786]