[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-026","nurse-114-1-fundamental-nursing-026",114,1,26,"使用水銀血壓計測量成人血壓時，於數值140 mmHg時開始聽到輕敲聲，至130 mmHg時開始聽到更清脆更強的敲聲，至70 mmHg時轉為較低沉聲音，至56 mmHg時聲音消失，其血壓值紀錄，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"140\u002F70 mmHg","130\u002F70 mmHg","140\u002F56 mmHg","130\u002F56 mmHg","C",null,[],"本題考點在於水銀血壓計柯氏音（Korotkoff sounds）與血壓判讀。收縮壓取第一次聽到搏動聲之時（Phase I），舒張壓成人取聲音完全消失之時（Phase V）。本題140 mmHg初聞敲聲為收縮壓，56 mmHg聲音消失為舒張壓，故記錄為140\u002F56 mmHg，選C。130 mmHg為聲音轉清脆的Phase II、70 mmHg為聲音變低沉的Phase IV，皆非成人判讀取點，故其餘選項錯誤。","柯氏音五期：I初現＝收縮壓；II變吹風樣；III再清脆響亮；IV轉低沉模糊；V消失＝成人舒張壓。兒童或孕婦有時取Phase IV為舒張壓。記憶：成人抓『第一聲』與『最後消失』兩端，中間各期是干擾選項。",[25,28,30,33],{"term":26,"count":27},"柯氏音",3,{"term":29,"count":27},"舒張壓",{"term":31,"count":32},"收縮壓",2,{"term":34,"count":11},"血壓判讀",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-1-fundamental-nursing-027","下咽癌病人行全咽喉切除術，併放射線療法後食道狹窄，下列何種方式最適合病人的長期腸道營養支持？",27,{"webId":41,"stem":42,"number":43,"year":10,"session":27},"nurse-114-3-fundamental-nursing-023","護理師測量一位 80 歲病人的耳溫結果顯示為 37.9℃，下列關於體溫測量何者最適當？",23,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-115-2-fundamental-nursing-017","有關人體水份含量的敘述，下列何者正確？",17,115,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-107-1-fundamental-nursing-005","依據疾病管制署公告，為懷疑有伊波拉病毒感染病人執行常規醫療照護時，下列何項個人防護設備不適宜？",5,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-1-fundamental-nursing-049","有關臨終病人的生理變化與照護，下列敘述何者錯誤？",49,108,{"webId":60,"stem":61,"number":27,"year":62,"session":32},"nurse-109-2-fundamental-nursing-003","照護 H5N1 流感病毒感染的病人時，在穿戴各項個人防護措施時，下列何者錯誤？",109,"2026-09-04",1788510756957]