[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-017":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-114-1-內外科護理學-017","nurse-114-1-medical-surgical-017",114,1,17,"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？",{"A":14,"B":15,"C":16,"D":17},"每天需測量橈動脈1分鐘","住家頂樓避免裝設手機基地台","可使用微波爐，但應保持安全距離","持續打嗝時，可做伐式操作法（Valsalva）緩解","D",null,[],"本題考點在於永久性心臟節律器的居家自我照護，屬反向題，須找出敘述錯誤者。依節律器衛教原則，病人每天應測量橈動脈脈搏1分鐘以監測是否低於設定率，A正確；強電磁場會干擾節律器感知，故避免住家頂樓設手機基地台、使用微波爐須保持安全距離，B、C正確。D的持續打嗝在裝設節律器後具警訊意義，常代表導線移位刺激橫膈或膈神經，Valsalva操作法無法緩解且不應以此因應，須就醫評估導線位置，故D敘述錯誤，為本題答案。","節律器導線末端多固定於右心室心尖，緊鄰橫膈；當導線鬆脫或穿孔時電流外溢刺激膈肌，表現為與心跳同步的頑固性打嗝，是導線併發症的典型床邊線索。Valsalva操作法是藉迷走神經減慢心率處理陣發性心室上心搏過速，機轉與導線刺激無關。記憶點：節律器病人的持續打嗝＝導線問題直到證實為止。",[24,27,29,31],{"term":25,"count":26},"永久性心臟節律器",2,{"term":28,"count":10},"導線移位併發症",{"term":30,"count":10},"電磁干擾防護",{"term":32,"count":10},"橈動脈脈搏監測",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-018","有關心衰竭之敘述，下列何者正確？",18,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-014","有關美尼爾氏症（Ménière’s disease），下列敘述何者最不適當？",14,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-medical-surgical-008","有關痔瘡的敘述，下列何者正確？①教導病人手術後一週開始溫水坐浴，促進傷口癒合 ②內痔與外痔的分界線是肛門黏膜與上皮相接的齒狀線（dental line） ③內痔區域是由自主神經所支配、外痔區域則是由體／知覺神經所支配 ④痔瘡切除術後教導病人採仰臥，利用填塞於直腸內的敷料加壓傷口止血",8,115,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-2-medical-surgical-076","有關登革熱之敘述，下列何者錯誤？",76,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-040","維生素 B 12 缺乏造成的惡性貧血，可透過下列何種試驗或檢查進行鑑別？",40,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-medical-surgical-074","有關監測敗血症病人液體療法之生理指標，下列何者最可能需調節輸液？",74,109,"2026-09-04",1788510757330]