[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-112-2-內外科護理學-027","nurse-112-2-medical-surgical-027",112,2,27,"有關第一期心臟復健，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"以新陳代謝當量（metabolic equivalent, MET）指標作為活動量的指引","採漸進方式的增加活動量","血壓上升不超過正常血壓值 25 mmHg","活動時增加的心跳速率至少要超過休息時的 25%","D",null,[],"本題考點是第一期（住院期）心臟復健的活動監測原則，錯誤敘述為 D。依心臟復健的安全監測標準，急性心臟事件後住院期活動應低強度、漸進，並以生命徵象變化為停止或調整依據。活動時心跳增加幅度應「限制在休息心率上約 20 下以內（或不超過休息值的某小幅度）」，而非「至少要超過休息時的 25%」——D 把安全上限誤寫成「至少要超過」，方向與意義皆錯，故為答案。A 以代謝當量（MET）作為活動量指引，正確；B 採漸進方式增加活動量，正確；C 活動時收縮壓上升不超過休息值約 20–25 mmHg 作為安全閾值，正確。","心臟復健分四期：第一期（住院期，低強度床邊活動、自我照顧）、第二期（門診監測運動）、第三期（社區維持）、第四期（長期維持）。第一期核心是「安全、低量、漸進」，以 MET 值衡量活動強度（如進食約 1 MET、走平路約 2–3 MET），並嚴密監測活動反應。安全停止／調整指標包括：心率上升超過休息值約 20 下、收縮壓上升超過約 20 mmHg 或反而下降、出現胸痛、呼吸困難、頭暈、心電圖缺血變化或危險心律不整。D 的陷阱在把「不得超過的上限」寫成「至少要達到的下限」，違反住院期避免心肌過度負荷的原則。理解「復健是節制而非追求心率飆高」即能識破。",[24,27,29,31],{"term":25,"count":26},"心臟復健第一期",1,{"term":28,"count":26},"代謝當量(MET)",{"term":30,"count":26},"活動安全監測",{"term":32,"count":26},"心率血壓上升限制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-028","有關心肌梗塞急性期的治療，下列敘述何者正確？①從鼻套管給 10 L\u002Fmin 氧氣 ②給予麻醉性止痛劑止痛，如 morphine ③給予血栓溶解劑治療 ④給予抗凝血劑治療 ⑤補充維生素 K",28,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-medical-surgical-044","有關中樞性尿崩症的敘述，下列何者正確？",44,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-038","有關全髖關節置換術術後病人之陳述，下列何者顯示需要進一步的護理指導？",38,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-medical-surgical-036","有關肺栓塞病人使用 Warfarin（Coumadin ® ）治療期間之護理指導，下列敘述何者最不適當？",36,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-010","有關肛門瘻管手術治療後之合併症，下列何者最少見？",10,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-medical-surgical-044","有關腫瘤溶解症候群之敘述，下列何者正確？①高血鉀症 ②高血鈣症 ③要補充大量水分 ④使用 kayexalate 可降低鈉離子 ⑤allopurinol 可降尿酸",107,"2026-09-04",1788510747499]