[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-049":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-049","nurse-106-2-fundamental-nursing-049",106,2,49,"陳女士，68 歲，家管，主訴晚上睡不好做夢多，晚上躺床後不易入睡，白天容易打瞌睡，平常下午午睡約 45 分鐘，傍晚會外出買菜順便散步 30 分鐘，煮晚餐吃過飯後洗澡看電視，約 10 pm 上床睡覺習慣開著燈，6 am 起床。過去病史包含糖尿病與心臟病，目前服用降血壓藥、降血糖藥、利尿劑、強心劑等藥物規律控制中，根據以上敘述，下列那些因素最可能會影響陳女士的睡眠？①缺乏運動 ②午睡太久 ③多重用藥 ④強心劑如 Digoxin 易導致惡夢 ⑤生活不規律 ⑥夜間睡眠燈光太亮",{"A":15,"B":16,"C":17,"D":18},"①②⑤","①③⑥","②④⑤","③④⑥","D",null,[],"本題考點是綜合情境判斷影響睡眠的因素。逐項比對陳女士的生活:③她同時服降血壓、降血糖、利尿劑、強心劑等多重用藥,多重用藥確會干擾睡眠;④強心劑 Digoxin 的中樞副作用可致惡夢與視覺異常;⑥她習慣開燈睡覺,過亮光線抑制褪黑激素分泌、干擾睡眠,三者成立,故選 D(③④⑥)。反觀①「缺乏運動」不成立——她傍晚散步 30 分鐘;②「午睡太久」不成立——午睡約 45 分鐘,並非過長;⑤「生活不規律」不成立——她作息其實相當規律。故凡含①②⑤者皆非。核心在對照情境事實逐一排除。",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？",6,1783840736606]