[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-112-1-基本護理學與護理行政-035","nurse-112-1-fundamental-nursing-035",112,1,35,"楊爺爺，罹患肺心症，呼吸每分鐘 28～30 次，護理師協助採取坐臥式（Fowler’s position）的理由，下列何者不適宜？",{"A":15,"B":16,"C":17,"D":18},"促使橫膈下降","胸廓易於擴張","提升氧合功能","增加回心血量","D",null,[],"本題考點在於坐臥式（Fowler's position）對呼吸窘迫病人的生理效益，並辨識何者「不是」其目的。依重力原理，坐姿時腹腔臟器下墜、橫膈下降（A），胸廓較易擴張（B），肺容量增加而提升氧合功能（C），這三項都是採坐臥式改善肺心症呼吸的正確理由。考點在於 D「增加回心血量」——坐姿時下肢靜脈血因重力滯留於周邊，靜脈回流反而減少而非增加，故 D 為不適宜的敘述，正解 D。此設計正是利用坐姿降低前負荷、減輕心肺負擔，與「增加回心血量」方向相反。","Fowler's position 對心衰竭與肺心症同時有肺與心兩層好處：肺層面擴張胸廓、降橫膈改善通氣；心層面藉重力使靜脈血滯留下肢，降低前負荷（preload）減輕心臟工作。口訣「坐起來，肺張開、心減壓」。反之平躺會增加回心血量而加重端坐呼吸。",[25,27,29,31],{"term":26,"count":11},"Fowler's position",{"term":28,"count":11},"橫膈與胸廓擴張",{"term":30,"count":11},"靜脈回流與前負荷",{"term":32,"count":11},"肺心症",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-fundamental-nursing-036","為預防病人髖關節外旋，可使用下列何種支托物？①砂袋 ②粗隆捲軸 ③氣墊床 ④床上護架",36,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-2-fundamental-nursing-052","王先生住院治療病情已穩定，主治醫師同意辦理出院手續，但王先生自認為病情尚無法回家，因此自行至他院就診要求住院，此現象王先生在原醫院應該是何種出院方式？",52,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-113-1-fundamental-nursing-016","病人因高燒使用低溫毯，護理師在使用低溫毯期間，下列照護事項何者正確？ ①為達到降溫效益，低溫毯應直接與病人皮膚接觸 ②剛使用時應每5分鐘測量病人的生命徵象，待穩定後則可以每15分鐘監測一次 ③使用過程中若病人出現發抖現象，為正常現象，可持續使用，但需每15分鐘監測體溫一次 ④應每30～60 分鐘協助病人翻身，以免造成壓力性損傷",16,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-2-fundamental-nursing-014","醫囑給予 2.5% Glucose Water 170 mL\u002Fday 靜脈輸液，以靜脈輸液幫浦給予，其速率設定約為多少？",14,114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-1-fundamental-nursing-018","郭護理師正在準備一位即將手術的 A 病人肌肉注射術前給藥，已將藥物抽好在針筒中；這時 B 病人因點滴不滴而拉紅燈，郭護理師在處理 B 病人的點滴問題時，同時接到須立即送 A 病人至手術室的通知；此時王護理師過來協助，郭護理師請王護理師幫忙執行 A 病人之術前給藥肌肉注射；下列何者為王護理師當下最適當的反應？",18,106,{"webId":59,"stem":60,"number":41,"year":61,"session":11},"nurse-107-1-fundamental-nursing-052","有關臨終病人之照護，下列敘述何者正確？",107,"2026-09-04",1788510741249]