[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-114-3-基本護理學與護理行政-029","nurse-114-3-fundamental-nursing-029",114,3,29,"有關鼻胃管放置及管灌餵食法的種類及選擇，下列敘述何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"病人有鼻中膈彎曲病史，較適合放置口胃管，非鼻胃管","病人放置矽膠材質鼻胃管，需 7～10 天更換","打入空氣確認鼻胃管位置後，需抽出空氣以防脹氣","長期禁食後欲開始管灌者，可採連續性灌食法（continuous feeding）","B",null,[],"本題考點在於鼻胃管材質、放置與管灌餵食法的選擇原則，屬反向題，須找出最不適當者。錯誤（最不適當）敘述為 B，矽膠（silicone）材質鼻胃管質地柔軟、組織相容性佳，可留置較久（約可達一個月），並非 7–10 天更換；7–10 天的短期更換較適用於較硬、易刺激黏膜的 PVC（聚氯乙烯）材質。A 病人有鼻中膈彎曲時改放口胃管以避開狹窄鼻道，正確。C 打入空氣聽診確認位置後應抽回空氣以避免脹氣，正確。D 長期禁食後腸道需重新適應，採連續性灌食可減少腸胃不適，正確。逐項比對後，唯 B 的更換頻率與材質特性不符，故為答案。","鼻胃管材質決定留置天數：PVC 較硬、易被胃酸脆化，約 7–10 天更換；矽膠與聚胺酯（polyurethane）柔軟耐久，可留置數週至一個月。位置確認的黃金標準是 X 光，床邊輔助法包括抽取胃內容物測 pH（酸性）與注氣聽診，注氣後須抽回避免脹氣。管灌方式分：間歇性（bolus，較符合生理，適合居家）與連續性（幫浦輸注，適合腸道耐受差、長期禁食後重啟或危重病人）。記憶：『矽膠久、PVC 短；長期禁食先連續』。",[25,28,31,33],{"term":26,"count":27},"鼻胃管位置確認",2,{"term":29,"count":30},"鼻胃管材質更換週期",1,{"term":32,"count":30},"矽膠與 PVC",{"term":34,"count":30},"連續性灌食",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-fundamental-nursing-030","病人預備做大腸鏡檢查，檢查前一天其飲食醫囑為「清流質飲食」，下列何種食物最適合提供此病人食用？",30,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-fundamental-nursing-026","病人骨折住院，無慢性病，今早護理人員測得耳溫 38.5℃，脈搏 90 次／分，呼吸 26 次／分，血壓為 110／64 mmHg，血氧濃度（SpO 2 ）為 89%，其異常的數值有下列何者？①體溫 ②脈搏 ③呼吸 ④血壓 ⑤血氧濃度",26,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-fundamental-nursing-070","以危機管理策略而言，醫學中心應採取下列何項較為適宜？",70,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-fundamental-nursing-028","解黑色糞便的可能原因為何？①服用鐵劑 ②脂肪吸收不良 ③進食較多豬肝 ④上腸胃道出血",28,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-fundamental-nursing-072","護理長授權三班組長保管麻醉藥品，且每班必須清點數目。若麻醉藥品數量出現問題，下列敘述何者正確？",72,108,{"webId":61,"stem":62,"number":43,"year":63,"session":30},"nurse-110-1-fundamental-nursing-026","0.33%食鹽水輸液適用於下列何種病人？",110,"2026-09-04",1788510761653]