[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-027":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-113-1-基本護理學與護理行政-027","nurse-113-1-fundamental-nursing-027",113,1,27,"下列何種徵象顯示成人鼻胃管插入的位置錯誤？",{"A":15,"B":16,"C":17,"D":18},"鼻胃管固定的標記顯示為70公分","鼻胃管反抽，抽出100 c.c.未消化的食物","灌食空針打入30 c.c.空氣，胃部聽診時有空氣進入胃的咕嚕聲音","將鼻胃管末端放入水中，無連續性氣泡","A",null,[],"本題考點在於成人鼻胃管位置正確性的判定，為反向題，問顯示位置「錯誤」者。錯誤徵象為 A：成人鼻胃管插入長度（鼻尖—耳垂—劍突）約 45～55 公分，固定標記顯示 70 公分表示插入過深、位置錯誤（可能過胃入十二指腸或盤繞），故選 A。B 反抽出未消化食物、C 打氣聽診胃部有咕嚕氣過水聲、D 末端置水中無連續氣泡（表示未誤入氣管），皆為位置正確的佐證。判斷關鍵在於插入深度的正常範圍。",[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？",6,1783840776884]