[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-029":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-029","nurse-111-1-fundamental-nursing-029",111,1,29,"吳老先生住院多日未解便，醫囑給予意福灌腸液（EVAC enema）行小量灌腸，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"灌腸時病人採右側臥，並請其哈氣放輕鬆","灌腸器頂端與肛管之接合處，需以凡士林潤滑","灌腸器頂端軟管塞入肛門之深度為 7.5～10 cm","灌腸中，病人出現痙攣腹痛，請其忍耐直到溶液灌完為止","C",null,[],"本題考點為小量灌腸(意福灌腸)的正確操作。成人灌腸時肛管插入直腸的深度為 7.5～10 公分(約 3～4 吋),過淺溶液易漏出、過深會傷及腸黏膜,故選 C。A 錯在灌腸病人應採左側臥(Sim's 姿),因乙狀結腸位於左側,左側臥順著腸道解剖走向利於溶液灌入,而非右側臥。B 錯在潤滑的部位是肛管前端要插入肛門的部分,以水溶性潤滑劑(非凡士林等油性,油會殘留且不易吸收),而非潤滑接合處。D 錯在灌腸中出現痙攣腹痛應暫停或放慢、降低灌腸筒高度讓病人深呼吸,不可強令忍耐灌完以免腸黏膜受損或迷走神經反應。",[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？",6,1783840773421]