[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-1-內外科護理學-016","nurse-113-1-medical-surgical-016",113,1,16,"有關心肌炎病人的護理指導，下列何者不適宜？",{"A":14,"B":15,"C":16,"D":17},"教導阻力運動，提升活動耐力","教導服用類固醇藥物，需觀察大便顏色","教導減少水分攝取，減少心臟前負荷","教導服用毛地黃，需監測脈搏","A",null,[],"本題考點在於心肌炎的活動與藥物照護,屬反向題,須找出不適宜者。心肌炎急性期心肌處於發炎受損狀態,運動會增加心肌耗氧與心臟負荷,恐加重心衰竭甚至誘發致命性心律不整,故應限制活動、臥床休息,教導阻力運動提升耐力並不適宜,選A。B適宜,長期類固醇可致腸胃道出血,觀察大便顏色可早期發現;C適宜,限水可降低前負荷減輕心臟工作量;D適宜,毛地黃(digoxin)會減慢心率,服用前須監測脈搏以防中毒。","心肌炎多由病毒(如克沙奇病毒)引起,發炎的心肌收縮力下降,運動猝死風險升高,故照護核心是「休息以待心肌修復」。毛地黃治療窗窄,脈搏\u003C60次\u002F分應停藥並通報。對比:心肌炎急性期禁運動,恢復期才漸進復健,和一般心臟復健的運動處方不同。",[24,27,30,32],{"term":25,"count":26},"前負荷",7,{"term":28,"count":29},"心肌炎",2,{"term":31,"count":10},"活動限制",{"term":33,"count":10},"毛地黃監測脈搏",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-medical-surgical-017","有關心肌梗塞後性生活的建議事項，下列敘述何者正確？①應該儘量避免以免再次發作 ②能量消耗大約與上下兩層樓相當 ③飽餐後或酒後比較適合性行為 ④性行為事後應預防性服用NTG ⑤應在熟悉的環境與伴侶進行以避免過度緊張與刺激 ⑥環境的室溫勿太冷或太熱",17,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-medical-surgical-013","下列何者會出現眼睛痛的症狀？",13,3,{"webId":45,"stem":46,"number":26,"year":47,"session":29},"nurse-114-2-medical-surgical-007","有關食道癌之敘述，下列何者錯誤？",114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-049","有關過敏性疾病的護理指導，下列何者錯誤？",49,107,{"webId":59,"stem":60,"number":43,"year":61,"session":29},"nurse-108-2-medical-surgical-003","腦腫瘤病人進行外科手術移除腫瘤後，顱內壓仍非常高，下列何種方式可以協助降低顱內壓？",108,"2026-09-04",1788510750360]