[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-fundamental-nursing-020":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-114-1-基本護理學與護理行政-020","nurse-114-1-fundamental-nursing-020",114,1,20,"有關灌腸的相關敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"保留灌腸溶液需在腸道內保留5〜10分鐘","保留灌腸常用於協助病人解除便秘","麻醉劑可使用保留灌腸方式給與","清潔灌腸是最常見的保留灌腸","C",null,[],"本題考點是灌腸的類型、目的與操作原則,問正確者。逐項核對:A錯,保留灌腸(retention enema)講究藥液『長時間保留』以利吸收或軟便,通常需保留至少30分鐘以上,5～10分鐘太短。B錯,協助解除便秘主要用『清潔灌腸(非保留、需排出)』,保留灌腸並非解便秘的常規用途。C正確,鎮靜\u002F麻醉等藥物可經由保留灌腸方式給與,利用直腸黏膜吸收達到全身或局部療效,屬保留灌腸的用途之一。D錯,清潔灌腸是要把腸內容物與灌腸液一併排出的『非保留』灌腸,不屬保留灌腸,更非『最常見的保留灌腸』。故選C。","把灌腸依『排不排出』二分最好記:清潔灌腸\u002F排空型——灌了要排出,用於便秘、術前腸道準備、檢查前清腸;保留灌腸——灌了要留住讓黏膜吸收,如油性軟便(oil retention,保留30分~數小時)、藥物灌腸(鎮靜劑、降血氨的Lactulose、Kayexalate降血鉀)。保留成功的護理原則(觀念延伸):採左側臥、量宜少、溫度接近體溫、速度慢、灌後平躺並延長保留時間以助吸收。本題誘答核心在把清潔灌腸誤植為保留灌腸(D)、以及誤把保留時間縮短(A),辨析『目的決定保留時間長短』即可穩答C。",[25,28,30,32],{"term":26,"count":27},"直腸黏膜吸收",3,{"term":29,"count":11},"保留灌腸與清潔灌腸",{"term":31,"count":11},"保留灌腸給藥",{"term":33,"count":11},"灌腸保留時間",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-1-fundamental-nursing-021","有關尿液性質的敘述，下列何者錯誤？",21,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-114-3-fundamental-nursing-017","使用冷、熱療法產生的生理反應，所達成的相同效果，下列敘述何者最適當？①減緩炎症反應 ②減緩疼痛 ③減緩關節僵硬 ④減緩充血與腫脹",17,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-fundamental-nursing-011","醫囑 Ampicillin 2,000 mg IVD Q4H，此藥物為每 vial 含有 Ampicillin 500 mg，下列給藥敘述何者正確？",11,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-106-2-fundamental-nursing-079","承上題，經核對醫囑後，護理師將藥物退回藥局請他們重新配置藥物。所幸該錯誤之藥物尚未發給病人使用。上述的情況是屬於下列何種異常事件？",79,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-1-fundamental-nursing-043","下列有關睡眠週期特徵之敘述，何者正確？",43,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-1-fundamental-nursing-077","臨床上若有病人自殺或意外而導致死亡，當班護理師處理順序，除保留現場狀況外，下列何者順序較為適宜？①通知當班主管馬上報警 ②通知家屬 ③書寫護理紀錄",77,109,"2026-09-04",1788510756906]