[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-114-3-內外科護理學-024","nurse-114-3-medical-surgical-024",114,3,24,"有關使用主動脈氣球幫浦（IABP）病人的護理注意事項，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"為避免血栓形成，患肢可採屈曲／伸展之交替活動","心臟收縮時主動脈內的氣球充氣以降低前負荷","須比較患肢與健肢之末梢脈博、血循、感覺差異","為避免出血，應避免給予 Heparin","C",null,[],"本題考點在於主動脈氣球幫浦(IABP)病人的護理注意事項。考點在於置入側肢體灌流評估:股動脈置入的導管可能影響下肢血流,故須比較患肢與健肢的末梢脈搏、血液循環與感覺差異以早期發現缺血,選 C。A 錯誤,置入側肢體須維持伸直、避免髖關節屈曲,不可做屈曲\u002F伸展交替活動以免導管移位。B 錯誤,IABP 是在心臟舒張期充氣以增加冠狀動脈灌流、收縮期洩氣以降低後負荷,並非收縮期充氣降前負荷。D 錯誤,為預防導管相關血栓通常需給予 Heparin 抗凝。四者中唯 C 的評估措施正確。","IABP 以反搏動原理運作:舒張期充氣把血液推向近端增加冠脈與腦部灌流,收縮前洩氣製造真空以降低左心室後負荷、減少心肌耗氧,常用於心因性休克或高危心導管術病人。護理重點含置入側肢體伸直與神經血管評估、監測時序準確、抗凝、觀察出血與感染,以及氦氣導管功能。記憶:『舒張充、收縮洩』,方向弄反就危險。",[24,27,29],{"term":25,"count":26},"主動脈氣球幫浦 IABP",1,{"term":28,"count":26},"舒張期充氣反搏動",{"term":30,"count":26},"置入側肢體血循評估",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-025","有關器官移植後發生急性排斥反應，下列敘述何者最適當？",25,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-021","有關癌細胞特性的敘述，下列何者正確？",21,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-065","有關 BUN 與 Serum Creatinine 比值的敘述，下列何者正確？",65,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-023","有關鼻咽癌的常見病因，下列何者最不相關？",23,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-067","有關糖尿病酮酸中毒（DKA）之處置，下列何者錯誤？",67,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-021","下列何者為費林氏測驗（Phalen’s test）陽性反應的描述？",110,"2026-09-04",1788510762058]