[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-027":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-108-2-內外科護理學-027","nurse-108-2-medical-surgical-027",108,2,27,"針對左心室射出率（EVEF）為 12%，有端坐呼吸且雙側下肢水腫厲害的心臟衰竭病人之護理，下列何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"協助採半坐臥姿勢以維持呼吸順暢","指導飲食限水、限鹽的方法","抬高雙腳 30 度以上以利改善水腫","監測並記錄體重變化及攝入與排出量","C",null,[],"本題考點是重度收縮性心衰(EF 12%)合併端坐呼吸與下肢水腫時的護理適切性判斷。依血流動力學,抬高雙腳會增加下肢靜脈回流、加大前負荷與肺鬱血,對已嚴重衰竭、有端坐呼吸的心臟是額外負擔,故「抬高雙腳 30 度以上」較不適當,選 C。A 半坐臥可降低靜脈回流、增加肺容積、緩解呼吸困難,適當。B 限水限鹽可減少容量負荷,是心衰基本飲食衛教,適當。D 監測體重與攝入排出量是評估體液平衡與治療反應的重要指標,適當。考點在於辨識姿位對靜脈回流的影響。",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？",6,1783840758848]