[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":31,"lastmod":61},"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,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-1-基本護理學與護理行政-015","nurse-115-1-fundamental-nursing-015",115,1,15,"王太太生產會陰部有撕裂傷口，醫囑每天執行溫水坐浴（Sitz Bath）二次，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"透過麻痺末稍神經可達到止痛效果，以及避免體溫過低","使用1：100優碘（Beta-Iodine）溶液，可消毒預防感染","浸泡部位不只是會陰與肛門，需要包含整個臀部","浸泡時間約20分鐘，時間過長可能會導致低血壓","A",null,[],"本題考點為溫水坐浴的原理與注意事項。溫水坐浴藉溫熱使局部血管擴張、促進血液循環與肌肉放鬆,達到減輕疼痛、促進傷口癒合的效果;「麻痺末梢神經達到止痛」是冷療的作用機轉,並非溫水坐浴的原理,故A錯誤,為本題答案。B正確,會陰有傷口時可依醫囑使用1:100優碘溶液坐浴,以消毒預防感染;C正確,坐浴時浸泡部位應包含整個臀部連同會陰與肛門,水量須足夠;D正確,浸泡時間約20分鐘為宜,時間過長因周邊血管持續擴張,可能引起低血壓而頭暈不適。","坐浴要點整理:水溫約41-43℃、時間15-20分鐘、每日2-4次;適用會陰傷口、痔瘡術後等;會陰部有急性出血時不宜。坐浴的溫熱效應=血管擴張+循環改善+肌肉鬆弛,與熱敷同一組機轉;冷療才是靠降低神經傳導速度「麻痺」末梢神經止痛——此冷熱機轉對比與熱敷題共用概念,常互相出題。浸泡過程須觀察病人面色與主訴,預防血管擴張引起的暈厥。",[25,27,29],{"term":26,"count":11},"溫水坐浴原理",{"term":28,"count":11},"冷療麻痺止痛之區辨",{"term":30,"count":11},"血管擴張與低血壓",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-115-1-fundamental-nursing-016","王太太使用坐浴後，主訴頭暈、心跳加快、無力、臉色蒼白，此時最適切的護理措施為何？",16,{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-106-1-fundamental-nursing-012","當給予孫小姐 Gentamycin oint. 時，護理師該如何執行？",12,106,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-106-2-fundamental-nursing-026","鼻黏膜出血的病人，應於何處冰敷以達止血目的？",26,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-107-2-fundamental-nursing-064","有關策略性規劃（strategic planning）的步驟，下列何者正確？",64,107,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-109-1-fundamental-nursing-028","有一醫囑：0.45% NaCl 每小時靜脈輸注 100 mL，擬以普通輸注套管（macrodrip，15 gtt\u002FmL）輸注，流速每分鐘應為幾滴？",28,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-110-1-fundamental-nursing-062","進行規劃革新護理管理活動時，下列目標設定何者最佳？",62,110,"2026-08-06",1787299088152]