[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-內外科護理學-009","nurse-106-1-medical-surgical-009",106,1,9,"王先生因直腸癌入院手術，醫師採用腹部會陰切除術及結腸造口術，術後 1 個月，教導王先生自我執行結腸灌洗之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"灌洗液採用 2%肥皂水效果佳","灌洗液的溫度約 37～38℃","懸掛灌洗袋時底部與肩同高","灌洗中出現腸絞痛時需暫停灌注代號：3106 頁次：8－2","A",null,[],"本題考點為結腸造口灌洗的護理指導,屬找錯誤敘述題。依腸黏膜保護原則,灌洗液應使用溫開水或生理食鹽水,而2%肥皂水具刺激性、會傷害腸黏膜並引發痙攣,故A為錯誤指導。B灌洗液溫度約37至38℃接近體溫,可避免刺激腸道,正確;C懸掛灌洗袋底部與肩同高使壓力適中、水流平緩,正確;D灌洗中出現腸絞痛時應暫停灌注、待緩解再續,以免腸道受傷,正確。故僅A不當。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840733388]