[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-107-2-內外科護理學-055","nurse-107-2-medical-surgical-055",107,2,55,"有關氣管內插管病人之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"定時評估病人抽痰的需要以維持管路通暢","維持氣管內管氣囊壓力在 35 mmHg 以預防管路滑脫","灌食時搖高病人床頭 30～45 度以避免吸入性肺炎","依醫囑給與鎮靜劑以預防非預期性拔管","B",null,[],"本題考點在氣管內插管的氣囊壓力管理。依標準,氣管內管氣囊壓力應維持約 20～25 mmHg(或 25～30 cmH₂O),目的是密封氣道以防漏氣與吸入,而非防止管路滑脫;壓力過高(如 35 mmHg)會超過氣管黏膜微血管灌流壓,造成黏膜缺血、壞死甚至氣管軟化狹窄,故錯誤者選 B。選項 A 定時評估抽痰以維持管路通暢,正確;選項 C 灌食時床頭抬高 30～45 度可降低胃內容物逆流與吸入性肺炎,正確;選項 D 依醫囑給鎮靜劑以降低躁動、預防非計畫性拔管,正確。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":36,"stem":37,"number":38,"year":27,"session":22},"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":40,"stem":41,"number":42,"year":27,"session":22},"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":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840751201]