[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-029":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-112-2-基本護理學與護理行政-029","nurse-112-2-fundamental-nursing-029",112,2,29,"關於清潔灌腸之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"可利用清潔灌腸提供營養","生理食鹽水是最常用的灌腸溶液","溶液保留在腸道內 30 分鐘後排出","成人灌入量不超過 240c.c.","B",null,[],"本題考點是清潔灌腸的目的、溶液與操作參數。依清潔灌腸原則,其目的是清除腸道糞便,最常用的溶液為生理食鹽水(0.9% N\u002FS),因其為等張溶液、不易造成電解質失衡與腸黏膜刺激,故 B 正確。A 錯,提供營養屬「營養灌腸(retention enema)」的目的,清潔灌腸目的在排空腸道而非給營養。C 錯,清潔灌腸屬「排出型」,溶液通常保留 5~10 分鐘後即排出,保留 30 分鐘是保留灌腸的作法。D 錯,成人清潔灌腸灌入量約 500~1000 c.c.,240 c.c. 太少;240 c.c. 較接近小量灌腸或兒童劑量。","灌腸依目的分兩大類:排出型(清潔灌腸,溶液如生理食鹽水、肥皂水、清水、高滲透壓溶液,保留 5~10 分鐘後排出以清空腸道)與保留型(營養、藥物、油類灌腸,需保留較久以吸收或軟便)。等張生理食鹽水最安全,因清水為低張大量灌入可能造成水中毒與電解質稀釋,肥皂水刺激性強。成人灌入量與插入深度(約 7.5~10 公分)、溶液高度(灌腸桶距肛門約 30~45 公分)都會影響流速與舒適度,速度過快易引起腹絞痛。",[25,28,30,32],{"term":26,"count":27},"清潔灌腸",1,{"term":29,"count":27},"生理食鹽水等張溶液",{"term":31,"count":27},"排出型與保留型灌腸",{"term":33,"count":27},"成人灌入量",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-030","尿液中出現膽紅素，可能是因為下列何種狀況所致？",30,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-112-3-fundamental-nursing-046","有關杜納貝迪恩（Donabedian, 1966）的「醫療品質評估模式」，下列敘述何者正確？",46,3,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-113-2-fundamental-nursing-040","有關醫院輻射、噪音、高溫、空調溫濕度及採光照明不當，屬於下列何種職業危害？",40,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-fundamental-nursing-038","當病房護理人力結構中，臨床經驗 3 年以上的護理師僅有 3 人，其餘臨床年資皆為 1 年以下，此情況最適合採用下列何種護理照護模式？",38,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-012","醫囑為 Digoxin 0.25 mg 1# S.L. qd 之含義，下列何者正確？",12,106,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-107-2-fundamental-nursing-046","下列何者不是造成壓瘡（pressure sore）的原因？",107,"2026-09-04",1788510746847]