[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-022":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":11},"nurse-114-3-基本護理學與護理行政-022","nurse-114-3-fundamental-nursing-022",114,3,22,"有關一般病人腹瀉的護理措施，下列敘述何者最適當？",{"A":15,"B":16,"C":17,"D":18},"急性期時增加高熱量食物攝取","補充鈉、鉀離子與水分","攝取高纖維軟質食物","肛門周圍皮膚塗抹類固醇軟膏","B",null,[],"本題考點在於一般腹瀉病人的飲食與皮膚護理原則。腹瀉會大量流失水分及鈉、鉀等電解質，最關鍵的護理是補充鈉、鉀離子與水分以預防脫水及低血鉀，故選 B。A 錯在急性期應採清淡、低渣、易消化飲食，並非高熱量食物，過度進食會加重腸道負擔。C 錯在高纖維食物會增加糞便體積、刺激腸蠕動而加重腹瀉，急性期應低纖而非高纖。D 錯在肛門周圍皮膚因頻繁排便易破損，應以保護性油膏或氧化鋅類保護，塗抹類固醇軟膏並非常規且無助於皮膚屏障修復。逐項比對後，唯有 B 針對腹瀉最主要的水電解質失衡風險，故為最適當。","腹瀉的核心風險是等張或低張性脫水與電解質不平衡，尤其低血鉀可致心律不整與肌肉無力，故補液補鉀是重點；口服電解質補充液（ORS）利用鈉—葡萄糖共同運輸機轉促進腸道吸收。飲食順序：急性期清淡低渣、少量多餐，避免高纖、高脂、乳糖與咖啡因；緩解後漸進恢復。皮膚照護採清潔後塗抹隔離型保護劑防失禁性皮膚炎。記憶：腹瀉護理三支柱為『補水電解質、飲食低渣、保護肛周皮膚』。",[25,27,30,32],{"term":26,"count":11},"低渣飲食",{"term":28,"count":29},"腹瀉水電解質流失",1,{"term":31,"count":29},"鈉鉀補充",{"term":33,"count":29},"肛周皮膚護理",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"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":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-fundamental-nursing-019","食糜隨著結腸壁的收縮，將食糜推向下一個結腸袋，此為大腸的何種運動？",19,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-106-1-fundamental-nursing-063","下列何者不屬於專科護理師之角色與功能？",63,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-fundamental-nursing-021","小可是一個妊娠週數 32 週的早產兒，目前體重 1.8 kg，有低血糖情形，給與 12.5% glucose water 靜脈輸注中。小可因血紅素過低，依醫囑輸血，輸血後 10 分鐘出現發燒、心搏過速、低血壓、血尿等情形，下列護理措施何者須優先執行？",21,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-fundamental-nursing-065","零基預算制度（zero-base budget system）之敘述，下列何者正確？",65,108,{"webId":61,"stem":62,"number":42,"year":63,"session":29},"nurse-110-1-fundamental-nursing-019","張小姐，30 歲，因過敏性眼瞼結膜炎，醫囑開立 Rinteron solution 1 gtt.O.U. q6h 及 Tetracycline oint. O.U. q6h，護理師進行眼藥滴入時，下列何者為正確給藥方式？",110,"2026-09-04",1788510761604]