[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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":11},"nurse-111-1-基本護理學與護理行政-023","nurse-111-1-fundamental-nursing-023",111,1,23,"若病人手臂靜脈不明顯且不易穿刺，可以採取下列那些措施以擴張血管？",{"A":15,"B":16,"C":17,"D":18},"用力拍打欲穿刺的部位，促使抗組織胺分泌","給予欲穿刺手臂部位局部濕熱敷","抬高欲穿刺部位之肢體高於心臟","請個案不要緊張、深呼吸，放鬆手掌代號：2104 頁次：6－3","B",null,[],"本題考點在於擴張周邊血管以利靜脈穿刺的物理原理。血管口徑受溫度與重力影響:局部濕熱敷使血管平滑肌鬆弛、血管擴張,靜脈更充盈明顯,故選 B。A 錯在拍打會刺激組織釋放組織胺造成局部血管通透性增加與紅腫,並非「促使分泌以擴張」,且用力拍打反而可能造成瘀傷,此敘述機轉錯誤。C 錯在抬高肢體高於心臟會促進靜脈回流、使遠端靜脈塌陷變得更不明顯,穿刺前應該把肢體放低於心臟才對。D 錯在放鬆手掌無助於充盈,反而握拳(讓肌肉收縮把血液擠向靜脈)才能使血管浮現,深呼吸放鬆對局部血管擴張效果有限。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"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":29,"stem":30,"number":31,"year":27,"session":11},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",2,{"webId":33,"stem":34,"number":35,"year":27,"session":11},"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":27,"session":11},"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":27,"session":11},"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":27,"session":11},"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？",6,1783840773370]