[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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,"freq":23},"nurse-106-2-基本護理學與護理行政-032","nurse-106-2-fundamental-nursing-032",106,2,32,"在大量灌腸過程中，病人主訴感到輕微腹痛時，護理師採用的護理措施，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"立即拔出肛管，通知醫生","停止灌腸，讓病人躺平休息","將灌腸筒提高，加快灌腸速度","暫停灌腸，等腹痛消失後再繼續","D",null,[],"本題考點是大量灌腸中出現腹痛的即時處置。灌腸時的輕微腹痛多因灌注速度過快或腸內壓力上升引發腸痙攣,依處理原則應「暫停灌腸、待不適緩解後再繼續」,並可降低灌腸筒高度、放慢速度,故選 D。A 立即拔管並通知醫生,對僅是輕微腹痛而言反應過度,尚未達須中止的程度;B 完全停止灌腸並躺平,措施過當且未解決速度問題;C 提高灌腸筒、加快速度會增大流速與腸壓,只會加劇腹痛,方向完全相反。唯有 D 兼顧安全與完成灌腸目的,是正確做法。",1,[25,28,31,35,39,43],{"webId":26,"stem":27,"number":23,"year":10,"session":23},"nurse-106-1-fundamental-nursing-001","下列何者為預防院內感染最經濟有效的方法？",{"webId":29,"stem":30,"number":11,"year":10,"session":23},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",{"webId":32,"stem":33,"number":34,"year":10,"session":23},"nurse-106-1-fundamental-nursing-003","王先生因腦血管損傷住院中，下列何種灌注溶液不適合王先生使用？",3,{"webId":36,"stem":37,"number":38,"year":10,"session":23},"nurse-106-1-fundamental-nursing-004","醫囑為 Acetaminophen 1 tab q6h p.r.n. if BT≧39℃之含義，下列敘述何者正確？",4,{"webId":40,"stem":41,"number":42,"year":10,"session":23},"nurse-106-1-fundamental-nursing-005","測量 H5N1 流感病毒感染病人生命徵象時，下列何項防護設備較不必要？",5,{"webId":44,"stem":45,"number":46,"year":10,"session":23},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,1783840736456]