[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-053":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-053","nurse-106-2-fundamental-nursing-053",106,2,53,"楊爺爺，72 歲，診斷為肺癌合併右肋、胸椎、骨盆等多處轉移，因疾病惡化處於瀕死階段，喉嚨發出臨終嘎音（death rattle），下列護理措施何者最適宜？",{"A":15,"B":16,"C":17,"D":18},"協助抽痰維持呼吸道通暢","給予背部叩擊促進痰液鬆動","依醫囑給予 hyoscine hydrobromide（Scopolamine）","協助 100%氧氣使用代號：2106 頁次：6－5","C",null,[],"本題考點是瀕死病人臨終嘎音(death rattle)的處置。依成因,臨終嘎音是瀕死者意識與吞嚥反射衰退、無法清除咽喉唾液分泌物,氣流通過而發出的聲音;處理原則是「減少分泌物生成」,依醫囑給予抗膽鹼藥 hyoscine hydrobromide(Scopolamine)可抑制唾液腺分泌,故選 C。A 抽痰對瀕死病人是侵入性刺激、徒增痛苦且效果有限;B 背部叩擊會使病人不適,亦非針對唾液分泌;D 給予 100% 氧氣無法減少分泌物、對改善嘎音無實質幫助。唯 C 對症於分泌物過多的根本機轉。",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？",6,1783840736641]