[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-114-1-內外科護理學-016","nurse-114-1-medical-surgical-016",114,1,16,"進行心臟復健時如出現活動耐力不足時應停止，下列何者不是其判斷依據？",{"A":14,"B":15,"C":16,"D":17},"心律不整或心跳上升或下降超過20次／分鐘以上","血壓上升或下降超過20 mmHg以上","體溫大於37℃","出現胸悶、胸痛、眩暈、盜汗、虛弱、疲倦","C",null,[],"本題考點在於心臟復健運動終止指標的判讀，屬反向題，要挑出「不是」停止依據者。依運動處方安全準則，出現心律不整、心跳較休息值上升或下降超過20次／分、血壓上升或下降超過20 mmHg，或胸悶、胸痛、眩暈、盜汗、虛弱等心肌缺氧或心輸出不足徵象時，代表心臟已無法負荷當前活動量，須立即停止。A、B屬客觀生理指標異常，D屬主觀不適徵象，皆為明確停止依據。C的體溫大於37℃僅為輕微升高，屬正常波動範圍，與活動耐力無直接關聯，故C不是判斷依據，為本題答案。","運動終止的核心邏輯是「心肌需氧與供氧失衡」。心跳與血壓的±20是量化閾值，反映自律神經與心輸出的代償極限；心律不整代表電生理不穩定，風險最高。體溫需達到38℃以上的發燒才可能影響代謝需氧，單純37℃不構成停止理由。可對比Borg自覺費力量表（RPE），主觀症狀與客觀數值需並用判讀。",[24,27,29,31],{"term":25,"count":26},"心律不整",5,{"term":28,"count":10},"心臟復健運動終止指標",{"term":30,"count":10},"血壓與心跳變異閾值",{"term":32,"count":10},"心肌缺氧徵象",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-017","有關裝置永久性心臟節律器病人居家護理指導之敘述，下列何者錯誤？",17,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-013","有關病人股骨骨折後牽引的護理措施，下列敘述何者最適當？①牽引重力應垂直懸空不可擺動 ②摩擦力愈小，牽引拉力愈大 ③應以罩單覆蓋在牽引繩上，以減少感染 ④應視病人需要，隨時調整牽引重量 ⑤牽引力應與骨頭的長軸平行",13,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-medical-surgical-007","有關急性膽囊炎的敘述，下列何者正確？",7,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-106-2-medical-surgical-075","有關腸病毒之敘述，下列何者錯誤？",75,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-039","有關癌症常見的腫瘤標記之敘述，下列何者錯誤？",39,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-medical-surgical-073","孕婦發生呼吸道梗塞的情況時，下列何種處置最適當？",73,109,"2026-09-04",1788510757320]