[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":27},"nurse-112-2-基本護理學與護理行政-042","nurse-112-2-fundamental-nursing-042",112,2,42,"關於測量血壓的技術之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"橡皮氣囊袋之下緣應齊平於肘關節處","每次打氣不超過 10 mmHg，放氣每次不超過 2～4 mmHg","打氣至橈動脈消失時，應該避免再充氣以免測量值失真","放氣時，聽到聲音消失之前的低沉聲音為收縮壓","B",null,[],"本題考點是測量血壓的正確技術參數。依血壓測量標準,放氣速度應緩慢均勻,每次(每一心跳)約下降 2~4 mmHg,過快會低估收縮壓、高估舒張壓,故 B 正確(此處指放氣速率)。A 錯,壓脈帶(氣囊袋)下緣應在肘窩上方約 2.5 公分處,而非齊平肘關節,以免壓迫聽診部位。C 錯,以觸診法先估收縮壓後,充氣應再打高於橈動脈消失點約 20~30 mmHg 才能準確,選項稱「避免再充氣」會導致測不到真正收縮壓。D 錯,放氣過程中「第一個聽到的柯氏音(Korotkoff sound)」為收縮壓,「聲音消失」為舒張壓,選項把消失前的低沉聲誤認為收縮壓,順序相反。","血壓聽診依柯氏音五相:第一相(清脆敲擊聲出現)=收縮壓;第五相(聲音消失)=舒張壓(部分情況如孕婦、甲亢以第四相變悶為舒張壓)。技術要點:壓脈帶寬度約為上臂周徑 40%、氣囊環繞約 80%,下緣距肘窩 2.5 公分,袖帶過窄或過鬆會高估血壓。先觸診橈動脈估收縮壓再充氣高 20~30 mmHg,可避免「聽診間隙(auscultatory gap)」造成低估。放氣速率 2~4 mmHg\u002F秒是為讓每次心跳都能被捕捉。掌握「第一聲收縮、消失舒張」與正確充放氣速率是本題核心。",[25,28,30,33],{"term":26,"count":27},"柯氏音",3,{"term":29,"count":11},"血壓測量技術",{"term":31,"count":32},"放氣速率 2~4 mmHg",1,{"term":34,"count":32},"聽診間隙",[36,40,45,48,52,57],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-2-fundamental-nursing-043","有關脂肪在人體內的代謝，下列敘述何者錯誤？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-113-1-fundamental-nursing-009","護理目標如下：「病人能解釋血糖控制與預防糖尿病合併症之關係」，此屬於何種類型的目標？",9,113,{"webId":46,"stem":47,"number":27,"year":44,"session":27},"nurse-113-3-fundamental-nursing-003","清除醫院環境中可能孳養微生物的體液、分泌物或溶液等，以降低微生物傳播機會，下列那項措施不適當？",{"webId":49,"stem":50,"number":32,"year":51,"session":32},"nurse-115-1-fundamental-nursing-001","當發生醫療糾紛時，護理人員可能會面臨的法律責任，下列敘述何者錯誤？",115,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-106-2-fundamental-nursing-025","有關乾冷或乾熱在人體應用上的敘述，下列何者正確？",25,106,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-107-2-fundamental-nursing-059","護理師將證照租借給不具護理師資格者使用，處罰方式為：",59,107,"2026-09-04",1788510746935]