[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-113-3-基本護理學與護理行政-029","nurse-113-3-fundamental-nursing-029",113,3,29,"有關鼻胃管餵食法，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"灌食後再灌 30 c.c.溫開水，目的為刺激胃液分泌以利消化","空針高度以食物液面距離胃部約 30～45 公分的距離最適當","灌食食物溫度為 42℃時，需等降溫後再灌食","灌食後協助病人維持半坐臥姿","A",null,[],"本題考點在於鼻胃管灌食的正確操作，本題為反向題，要挑出錯誤敘述。依灌食沖管目的，灌食後再灌約 30 mL 溫開水是為「沖淨管壁殘留食物、維持管路通暢並防阻塞」，並非「刺激胃液分泌以利消化」，故 A 敘述錯誤、為答案。B 正確：空針高度距胃部約 30～45 公分可利用適當重力使食物緩緩流入，避免速度過快。C 正確：灌食溫度以接近體溫為宜，42℃偏高應待降溫，過熱會傷胃黏膜。D 正確：灌食後維持半坐臥姿 30～60 分鐘可藉重力預防食物逆流與吸入性肺炎。","灌食後沖管的真正目的是機械性清潔管腔、避免配方殘留發酵或凝結阻塞，順帶補充水分。半坐臥防逆流是預防吸入性肺炎的關鍵，因鼻胃管跨過賁門括約肌使抗逆流屏障失效。灌食速度與溫度過快過熱都會引起噁心、腹脹、腹瀉。記「沖管為通暢不為助消化、灌後坐 30 分防嗆入」。",[25,28,31,33],{"term":26,"count":27},"鼻胃管灌食",6,{"term":29,"count":30},"沖管目的",1,{"term":32,"count":30},"半坐臥防逆流",{"term":34,"count":30},"灌食溫度",[36,40,46,51,56,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-fundamental-nursing-030","有關腸道外營養的敘述，下列何者錯誤？",30,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-fundamental-nursing-026","下列何者不是易發生高壓脈（pulse of high tension）的族群？",26,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-115-1-fundamental-nursing-020","有關活動式假牙的護理，下列何者正確？",20,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-fundamental-nursing-038","使用下列何種藥物易導致便秘的問題？①長期使用抗生素 ②含鎂制酸劑 ③鐵劑 ④抗膽鹼激素藥物（如：Atropine） ⑤麻醉性止痛劑（如：Morphine）",38,106,{"webId":57,"stem":58,"number":45,"year":59,"session":30},"nurse-108-1-fundamental-nursing-002","承上題，林小姐呼吸喘、咳嗽加劇，經胸腔 X 光顯示右下葉肺炎及肋膜積水，施行胸腔放液穿刺術合併胸管留置，當您協助更換病人胸管傷口敷料時，下列措施何者正確？",108,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-109-1-fundamental-nursing-036","一位初入院的病人主訴不適且左側無力，血壓數值右手 148\u002F76 mmHg、左手 120\u002F66 mmHg，下列處置何者較適當？",36,109,"2026-09-04",1788510752178]