[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-019","nurse-113-1-medical-surgical-019",113,1,19,"有關心臟節律器之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"裝設心臟節律器術後，出現持續打嗝是正常現象","永久性心臟節律器的激搏器在體外，可方便更換電池","裝設暫時性心臟節律器，心電圖上不會出現激搏波（pace spike）","裝設永久性心律調節器後，4～6週內應避免提重物","D",null,[],"本題考點在於心臟節律器的照護與原理。依永久性節律器植入後傷口與導線固定需求,4~6週內應避免提重物或患側肩過度外展,以免導線移位,故D正確。A錯誤,持續打嗝可能是導線刺激橫膈或移位的異常徵象,並非正常;B錯誤,永久性節律器的節律產生器(激搏器)是植入體內皮下,並非在體外;C錯誤,節律器發出的電脈衝會在心電圖上顯示激搏波(pacing spike),暫時性節律器同樣會出現。","節律器spike是判讀節律器功能的關鍵:spike後應跟隨對應的P波或QRS波,代表奪獲(capture)成功。植入後衛教重點:避免患側肩劇烈活動防導線脫位、遠離強磁場、隨身攜帶識別卡。持續打嗝提示導線可能刺激膈神經,須回診評估。",[24,27,29,31],{"term":25,"count":26},"心臟節律器",2,{"term":28,"count":10},"激搏波 spike",{"term":30,"count":10},"導線固定",{"term":32,"count":10},"術後活動限制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-020","有關下肢深部靜脈栓塞服用Warfarin病人之護理指導，下列何者正確？",20,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-016","有關肥厚型心肌病變之病因，下列何者最正確？",16,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-medical-surgical-010","王先生，170 cm，88 Kg，從事搬運工，因腹股溝疝氣接受手術治療，有關疝氣手術後護理指導，下列何者正確？①傷口處熱敷，以減輕疼痛與腫脹 ②不需要特別減重以免營養不良 ③陰囊應給與支托後再下床 ④平時應多吃蔬果以預防便秘 ⑤出院後可立即上班從事搬運工作",10,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-008","有關腦脊髓液的分析結果，下列何者正常？",8,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-052","有關胃食道逆流的敘述，下列何者錯誤？",52,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-medical-surgical-006","有關巴金森氏症的敘述，下列何者正確？",6,108,"2026-09-04",1788510750380]