[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-fundamental-nursing-028":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-114-2-基本護理學與護理行政-028","nurse-114-2-fundamental-nursing-028",114,2,28,"有關鼻胃管護理的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"一手固定管路、一手撕除舊布膠，視需要可用丙酮去除布膠痕跡","以濕紙巾擦拭膠布黏貼處，並檢查鼻樑的皮膚狀況，避免管路長期壓迫同一部位","每日需將管子旋轉約 45 度，避免管路周圍皮膚和黏膜長時間受壓，導致壓傷","鼻胃管拔除時，病人採高坐臥姿勢，請病人發出「阿」的聲音並吐氣","D","第28題答Ａ或Ｄ者均給分",[],"本題考點在於鼻胃管日常護理與拔管技巧。本題為反向題，錯誤敘述為 D：拔除鼻胃管時應請病人深吸氣後「閉氣」再迅速拔出，以避免管尖刺激咽喉引發嗆咳與吸入，而非請病人發「阿」聲並吐氣，故 D 敘述錯誤、為正解。A 正確，固定管路、撕除舊膠並可用少量丙酮清除殘膠痕跡。B 正確，以濕巾清潔黏貼處並檢視鼻樑皮膚、避免同一部位長期受壓。C 正確，每日旋轉管子約 45 度可分散壓力、預防黏膜與皮膚壓傷，故選 D。","拔管採坐臥姿使食道與氣道角度利於管路滑出，閉氣時聲門關閉可防吸入。放置期輪換固定點與旋轉管路是預防醫療器材相關壓傷（device-related pressure injury）的核心概念，與導管、氧氣管照護原則一致。",[25,28,30,32],{"term":26,"count":27},"鼻胃管拔除",1,{"term":29,"count":27},"醫療器材相關壓傷",{"term":31,"count":27},"吸入預防",{"term":33,"count":27},"閉氣技巧",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-fundamental-nursing-029","有關髖關節運動的活動類型，下列何者錯誤？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-115-1-fundamental-nursing-025","關於發燒的類型，下列敘述何者錯誤？",25,115,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-106-1-fundamental-nursing-019","護理師進入病室準備執行 9AM 之口服給藥，發現病人有嘔吐、腹瀉及發燒情形，且意識混亂；下列何者為護理師最適當的處理？",19,106,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-107-1-fundamental-nursing-057","根據系統理論，下列何項不屬輸出（output）部分？",57,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-2-fundamental-nursing-021","關於臨床護理紀錄的原則，下列敘述何者錯誤？",21,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-2-fundamental-nursing-055","有關臨終病人生理變化之敘述，下列何者錯誤？",55,109,"2026-09-04",1788510759209]