[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-050":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-110-2-基本護理學與護理行政-050","nurse-110-2-fundamental-nursing-050",110,2,50,"醫囑每 2 小時間歇管灌食的病人，已於 8：00 am 灌食 250 mL 後，於 10：00 am 管灌前反抽鼻胃管有 150 mL 之未消化液，下列處置何者最適當？",{"A":15,"B":16,"C":17,"D":18},"將病人採右側臥以促進胃排空，一小後再給予灌食","評估腸蠕動音，並給予胃部按摩","減少灌食量，此次給予灌食 100 mL","暫停鼻胃灌食，並與醫師討論","D",null,[],"本題考點在管灌前反抽胃內殘餘量(gastric residual)的判讀與處置。8:00 灌食 250 mL，10:00 反抽出 150 mL 未消化液，殘餘量偏高(達前次灌食量過半，超過一般 100–150 mL 警戒值)，顯示胃排空延遲、有吸入風險，最適當處置為暫停灌食並與醫師討論，選 D。採右側臥並延後一小時(A)、按摩胃部(B)、逕自減量灌食(C)都在殘餘量過高、未釐清原因下持續灌食，增加吸入性肺炎風險，故非最適當。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"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？",106,{"webId":30,"stem":31,"number":11,"year":28,"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":33,"stem":34,"number":35,"year":28,"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":37,"stem":38,"number":39,"year":28,"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":41,"stem":42,"number":43,"year":28,"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":45,"stem":46,"number":47,"year":28,"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？",6,1783840765435]