[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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-111-2-內外科護理學-052","nurse-111-2-medical-surgical-052",111,2,52,"有關促進胸腔手術術後病人咳嗽的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"深呼吸後應至少隔 6 小時再行咳嗽","咳嗽前 2 小時給止痛劑","咳嗽前喝至少 500 mL 的開水","咳嗽前請病人坐起且以枕頭壓住傷口","D",null,[],"本題考點為胸腔手術後促進有效咳嗽的護理措施。術後咳嗽疼痛會使病人不敢用力,依傷口支持原則,請病人坐起(利於肺部擴張與痰液排出)並以枕頭或雙手壓住傷口(支托傷口減痛),可促進有效咳嗽排痰,選 D 最適當。A 錯誤:深呼吸後應緊接著咳嗽以利排痰,無須間隔 6 小時;B 錯誤:止痛劑宜在咳嗽前約 30 分鐘給予以達作用高峰,間隔 2 小時過久;C 錯誤:咳嗽前喝 500 mL 開水過量,可能引起嗆咳或不適,並非必要措施。","胸腔或腹部術後有效咳嗽的關鍵在「克服疼痛障礙」,因疼痛導致淺呼吸與抑制咳嗽,易致痰液滯留、肺擴張不全與肺炎。標準做法:採坐姿或半坐臥利於橫膈下降與肺擴張,以枕頭\u002F雙手\u002F毛巾支托(splinting)手術傷口減少牽扯疼痛,先數次深呼吸再做爆發性咳嗽(或哈氣咳嗽 huff coughing)。止痛藥應配合咳嗽\u002F活動時間,於作用高峰前約 30 分鐘給予,使病人能配合深呼吸咳嗽運動與早期下床。傷口支托是提升咳嗽效能與病人配合度的核心技巧。",[24,27,29,31],{"term":25,"count":26},"胸腔術後護理",1,{"term":28,"count":26},"有效咳嗽",{"term":30,"count":26},"傷口支托 splinting",{"term":32,"count":26},"止痛藥給藥時機",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-053","有關肺水腫（pulmonary edema）的敘述，下列何者正確？",53,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-069","下列何種荷爾蒙分泌過多會導致康氏症候群（Conn’s syndrome）？",69,112,{"webId":44,"stem":45,"number":46,"year":42,"session":46},"nurse-112-3-medical-surgical-003","額葉腦瘤病人，最可能出現下列何項臨床表徵？",3,{"webId":48,"stem":49,"number":26,"year":50,"session":26},"nurse-114-1-medical-surgical-001","有關巴金森氏症病人服用抗膽鹼激性製劑trihexyphenudyl（Artane ®）之敘述，下列何者正確？",114,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-115-2-medical-surgical-005","當腦瘤病人出現噴射性嘔吐時，腫瘤最可能壓迫到下列那一個部位？",5,115,{"webId":57,"stem":58,"number":41,"year":59,"session":10},"nurse-106-2-medical-surgical-069","下列何者不是肢端肥大症之症狀？",106,"2026-09-04",1788510738705]