[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-2-內外科護理學-033","nurse-114-2-medical-surgical-033",114,2,33,"有關預防吸入性肺炎病人之護理措施，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"進餐後立採平躺姿勢，以防止嗆咳","睡覺時，需協助病人以床頭抬高約 15～30 度半側臥姿的方式休息","教導家屬鼻胃管灌食前，需評估病人胃殘餘量，以避免不慎嗆咳","吞嚥困難病人進食前，應評估作嘔反射，以選擇適當的進食方式","A",null,[],"本題考點在於預防吸入性肺炎的護理措施。本題為反向題,最不適當者為 A:進餐後應維持坐姿或半坐臥並持續 30~60 分鐘,以利食物下行、防止胃內容物逆流嗆入呼吸道;若立即採平躺姿勢反而增加逆流與吸入風險,故 A 為答案。B 正確,睡覺時床頭抬高約 15~30 度半側臥可減少逆流。C 正確,鼻胃管灌食前評估胃殘餘量避免灌食過量造成逆流嗆咳。D 正確,進食前評估作嘔反射(嘔吐反射)以判斷吞嚥安全並選擇合適進食方式。","吸入性肺炎預防核心=「防逆流、防誤吸」。抬高床頭利用重力減少胃食道逆流;評估胃殘餘量避免灌食堆積;作嘔反射反映咽喉保護能力,消失者誤吸風險高。進食採坐姿、小口慢食、選擇合適質地(必要時增稠),餐後維持直立是關鍵細節,平躺是最常見的錯誤照護。",[24,27,30,32],{"term":25,"count":26},"吸入性肺炎預防",4,{"term":28,"count":29},"餐後坐姿",1,{"term":31,"count":29},"胃殘餘量",{"term":33,"count":29},"作嘔反射評估",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-medical-surgical-034","急性呼吸窘迫症候群（ARDS）病人產生表面張力素的肺細胞受損，會導致病人出現下列何種問題？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-medical-surgical-030","有關類風濕性關節炎藥物治療之敘述，下列何者正確？",30,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-medical-surgical-024","使用 Beta 腎上腺素阻斷劑治療青光眼之敘述，下列何者錯誤？",24,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-medical-surgical-062","末期腎疾病（ESRD）病人需接受透析治療的指標，下列何者錯誤？",62,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-medical-surgical-026","60 歲的王太太是退休公務員，平日在家日常生活活動都靠家人幫忙，休息時仍感呼吸喘，晚上常因呼吸不順無法入睡，根據美國紐約心臟學會（NYHA）的心臟功能分級標準，上述情況何者正確？",26,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-medical-surgical-060","有關膀胱癌的敘述，下列何者錯誤？",60,109,"2026-09-04",1788510759763]