[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-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-109-2-內外科護理學-055","nurse-109-2-medical-surgical-055",109,2,55,"有關護理師給予氣切造口（tracheostomy）病人抽痰時，下列措施何者最重要？",{"A":14,"B":15,"C":16,"D":17},"執行氣切造口護理","聽診呼吸音","給予抗焦慮劑","評估血氧的變化代號： 3106 頁次： 6－5","D",null,[],"本題考點是氣切造口病人抽痰時的護理重點。考點在於辨識抽痰過程會同時抽走氣道內氧氣、易造成低血氧與心律變化，故過程中最重要的是評估血氧（SpO₂）的變化以確保安全，選D。A執行氣切造口護理是抽痰後的清潔照護，非抽痰當下最重要。B聽診呼吸音可判斷是否需抽痰及成效，屬重要評估，但監測缺氧攸關生命更為優先。C給予抗焦慮劑並非抽痰的常規必要措施。抽痰最主要的立即風險是低血氧，故監測血氧變化最重要，選D。",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？",6,1783840755263]