[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-045","nurse-112-2-fundamental-nursing-045",112,2,45,"病患接受 650 mOsm\u002FkgH 2 O 管灌配方，以 60c.c.\u002F小時連續灌食法提供營養後，開始出現腹瀉，下列何者為改善腹瀉的合宜措施？",{"A":15,"B":16,"C":17,"D":18},"提高管灌配方濃度","調整灌食速度為 40～50c.c.\u002F小時","灌食溫度控制在 32～35℃","建議病人採坐姿，繼續灌食","B",null,[],"本題考點是管灌配方引起腹瀉的改善措施。650 mOsm\u002FkgH₂O 屬高滲透壓配方,加上灌食速度偏快,腸道無法吸收而將水分拉入腸腔造成滲透性腹瀉,改善之道是「減慢灌食速度」讓腸道有時間吸收,故 B(調整為 40~50 c.c.\u002F小時)正確。A 錯,提高配方濃度會增加滲透壓,使腹瀉更嚴重。C 錯,灌食配方溫度應接近體溫(室溫或微溫),32~35℃ 偏低且非改善腹瀉的關鍵,過冷反而刺激腸蠕動。D 錯,採坐姿雖可預防吸入,但「繼續原速灌食」並未解決腹瀉主因(速度與滲透壓),治標不治本。","管灌腹瀉常見原因:配方滲透壓過高、灌食速度過快、配方溫度過冷、乳糖不耐、細菌污染、或合併使用含山梨醇的藥水與抗生素。處置原則:降低灌速、由稀漸濃循序漸進、配方回溫至接近體溫、注意無菌與保存(開封後 24 小時內用畢)、必要時改用等滲透壓或含纖維配方。連續灌食法本身較間歇性溫和,故此題核心在「高滲+快速」兩因素,先調慢速度為第一線對策。灌食時床頭抬高 30~45 度是為防吸入性肺炎,與腹瀉處理是不同目的。",[25,28,30,32],{"term":26,"count":27},"管灌腹瀉",1,{"term":29,"count":27},"高滲透壓配方",{"term":31,"count":27},"降低灌食速度",{"term":33,"count":27},"滲透性腹瀉機轉",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-046","有關 Braden 壓傷風險評估量表，其評估項目下列何者除外？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-113-1-fundamental-nursing-012","病人血壓180\u002F120 mmHg，醫囑「nifedipine（Adalat®）10 mg \u002Fcap 1# S.L. STAT」， 下列給藥方式何者正確？",12,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-fundamental-nursing-006","病人由家屬送入急診，護理師觀察到病人出現呼吸喘、冒冷汗的狀況，家屬描述「昨天就開始喘了」。 BP：158\u002F92 mmHg、HR：102 次／分、R：26 次／分、SpO 2 ：89%，上述何者為主觀資料？",6,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-115-1-fundamental-nursing-004","有關外科無菌之敘述，下列何者正確？",4,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-028","有關溫水坐浴治療之敘述，下列何者錯誤？",28,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-fundamental-nursing-062","成功的推動目標管理，不僅要將目標管理簡化為一種管理程序，更需要導入相關技巧才得以成功。下列何者為目標管理成功的要件？①主管清楚列出目標 ②依個人能力分配不同目標 ③把權限與責任分授給各級主管 ④目標由主管和員工共同完成 ⑤定期回饋進展狀況",62,107,"2026-09-04",1788510746969]