[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-045":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-112-1-基本護理學與護理行政-045","nurse-112-1-fundamental-nursing-045",112,1,45,"護理師為病人執行鼻胃管灌食，下列措施何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"食物剛從冰箱拿出應隔水加熱，溫度以接近體溫為宜","灌食前，反抽出現 150 mL 咖啡色未消化食物，將其打回，暫不餵食","每次灌食量不超過 500 mL，灌食時間約 20 分鐘","灌食後抬高床頭約 30～60 分鐘，2 小時內不可抽痰","B",null,[],"本題考點在於鼻胃管灌食的安全措施，須找出錯誤者。反抽（residual）目的在評估胃排空與腸胃出血，若抽出 150 mL「咖啡色未消化」內容物，咖啡色可能代表上消化道出血或食物滯留，應保留檢視並通報，不可貿然「打回」灌注，故 B 措施錯誤，正解 B。A 冰箱取出的食物隔水加熱至接近體溫，避免過冷刺激腸胃，正確；C 每次灌食量與速度控制、時間約 20 分鐘以防脹氣嘔吐，正確；D 灌食後抬高床頭並暫不抽痰以降低吸入性肺炎風險，正確。唯咖啡色反抽物打回的處置違反安全原則。",[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？",6,1783840775002]