[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":38,"lastmod":66},"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-045","nurse-111-2-fundamental-nursing-045",111,2,45,"管灌食物的注意事項，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"管灌配方開封後，放置冰箱應於 24 小時內食用完畢","灌食食物應儘量提高濃度，減少胃容量負荷","食物與藥物灌食間隔時間需為 30 分鐘","一次灌食的總量不超過 500 c.c.","B",null,[],"本題考點為管灌飲食的安全原則。考點在於濃度過高會提高滲透壓，反而引發傾食症候群、腹瀉與脫水，故 B「儘量提高濃度」錯誤、為正解，臨床應以等滲透壓、漸進調整為原則。A 開封配方冷藏須 24 小時內用畢以防細菌孳生，正確。C 食物與藥物間隔約 30 分鐘可避免交互作用與影響吸收，正確。D 單次灌食量一般不超過 350–500 c.c. 以免胃過度膨脹造成逆流嘔吐，正確。B 誤把高濃度當成減輕負荷，實則增加滲透性腹瀉風險，是本題陷阱。","腸道對高滲透壓負荷的反應是把水分拉入腸腔以稀釋內容物，導致腸道水分驟增、蠕動加快而腹瀉，即傾食症候群的滲透機轉；同理灌食速度過快也會誘發。故臨床設計採低速、等滲、少量多餐並逐步增量的策略。記憶口訣：管灌四不要——不要太濃、不要太快、不要太多、不要太涼，四項都圍繞降低胃腸與滲透負荷。",[25,28,31,33,35],{"term":26,"count":27},"滲透壓",5,{"term":29,"count":30},"管灌飲食",3,{"term":32,"count":11},"傾食症候群",{"term":34,"count":11},"單次灌食量",{"term":36,"count":37},"藥物與食物間隔",1,[39,43,48,52,57,62],{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-111-2-fundamental-nursing-046","張先生長期仰臥在床上，若未採取預防措施，其髖關節最容易發生何種變化？",46,{"webId":44,"stem":45,"number":46,"year":47,"session":37},"nurse-112-1-fundamental-nursing-062","有關醫療機構之病人安全異常事件通報系統的建置，下列敘述何者最適宜？",62,112,{"webId":49,"stem":50,"number":51,"year":47,"session":11},"nurse-112-2-fundamental-nursing-076","李護理長從事護理工作超過 10 年，面對需同時完成碩士班進修及評鑑任務的壓力，難以抉擇取捨，他正面臨下列何種內在衝突？",76,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-113-3-fundamental-nursing-044","依人員專長專業分工來劃分部門組織，屬於下列何種組織運作？",44,113,{"webId":58,"stem":59,"number":60,"year":61,"session":37},"nurse-115-1-fundamental-nursing-048","有關護理長決定改進單位護理品質管理計畫之主題考量的層面，下列敘述何者正確？",48,115,{"webId":63,"stem":64,"number":46,"year":65,"session":11},"nurse-106-2-fundamental-nursing-062","組織工作說明書的內容，下列何者最不應包含在內？",106,"2026-09-04",1788510737895]