[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-029":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-112-2-內外科護理學-029","nurse-112-2-medical-surgical-029",112,2,29,"有關心臟節律器放置術後護理措施之敘述，下列何者不適宜？",{"A":14,"B":15,"C":16,"D":17},"心電圖上出現心室激搏波（spike）時，應立即通知醫師","每日評估植入處傷口有無發炎、血腫情形","術後隔日，植入側的手臂宜避免抬高的關節運動","術後第一小時應每 15 分鐘評估生命徵象代號： 3102 頁次： 8－4","A",null,[],"本題考點是心臟節律器（pacemaker）置放術後的護理措施，不適宜的是 A。依節律器的運作原理，節律器藉電脈衝刺激心臟收縮，心電圖上出現的「激搏波（spike）」正是節律器正常放電的訊號，代表裝置運作中，屬預期且正常的表現，並不需要立即通知醫師，故 A 不適宜而為答案（真正需通報的是 spike 後未跟隨心跳的「失奪獲 failure to capture」等異常）。B 每日評估植入處傷口有無發炎、血腫，正確；C 術後早期植入側手臂避免抬高過肩的關節活動，以防電極線脫位，正確；D 術後第一小時每 15 分鐘監測生命徵象以早期發現併發症，正確。",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？",6,1783840781711]