[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-027":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-112-2-基本護理學與護理行政-027","nurse-112-2-fundamental-nursing-027",112,2,27,"有關冷熱應用的注意事項，下列何者最正確？",{"A":15,"B":16,"C":17,"D":18},"一般治療依醫囑而定，若無醫囑則以 40～50 分鐘為原則","治療過程中，應每 30 分鐘評估病人狀況","若需重複使用，應間隔 30～60 分鐘","告知病人，可以依自己的需求與感覺調整溫度","C",null,[],"本題考點是冷熱療法的安全注意事項與時間規範。依冷熱應用原則,單次治療一般以 20~30 分鐘為限,若需重複使用應間隔 30~60 分鐘,讓組織血流與溫度恢復、避免反彈效應與組織傷害,故 C 正確。A 錯,無醫囑時單次治療應約 20~30 分鐘,40~50 分鐘過久易造成續發效應(如熱療過久反使血管收縮)。B 錯,治療過程應每 5~10 分鐘評估一次皮膚與病人反應,間隔 30 分鐘太長無法及時發現燙傷或凍傷。D 錯,不可讓病人自行依感覺調整溫度,尤其感覺遲鈍者更危險,溫度須由護理人員依醫囑控制。","冷熱療法時間限制的原理在於「續發效應(rebound\u002Fsecondary effect)」:熱敷初期血管擴張,但持續超過 30~45 分鐘後身體為避免過熱反而引發血管收縮;冷敷持續過久也會反射性血管擴張,兩者都使療效逆轉並增加組織傷害風險。故臨床採「短時間、間隔重複」策略。評估頻率高(每 5~10 分鐘查看皮膚顏色、有無水泡)是因為感覺障礙、意識不清、循環不良、嬰幼兒與老年人特別容易灼傷或凍傷。溫度必須由醫護把關,不可交由病人主觀感覺決定。",[25,27,29,32],{"term":26,"count":11},"冷熱療法時間限制",{"term":28,"count":11},"續發效應",{"term":30,"count":31},"重複使用間隔",1,{"term":33,"count":31},"評估頻率",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-028","方先生，體溫 39.5℃，依醫囑給予溫水拭浴。下列措施何者正確？",28,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-112-3-fundamental-nursing-044","護理人員專業能力進階制度，是運用賀茲伯格雙因子理論（Herzberg’s Motivation-Hygiene Theory）中的那一項激勵因素（Motivator）？",44,3,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-113-2-fundamental-nursing-038","護理長在新進人員報到時，依馬斯洛（Maslow）需求層級理論，最優先應提供之項目為何？",38,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-fundamental-nursing-036","為提升護理人員鼻胃管灌食照護完整性，經病房會議討論決定組成小組，進行護理改善專案。此屬於何種管理理論？",36,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-010","有關護理師「行為過程紀錄與分析」的敘述，下列何者正確？",10,106,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-107-2-fundamental-nursing-044","長期臥床者在床上使用便盆時，易使用伐耳沙伐氏操作（Valsalva’s maneuver）用力排便，此時心血管系統會呈現何種改變？①胸內壓上升 ②靜脈血快速大量流回心臟 ③血壓下降 ④心輸出量減少",107,"2026-09-04",1788510746815]