[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-016":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-016","nurse-115-1-fundamental-nursing-016",115,1,16,"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？",{"A":15,"B":16,"C":17,"D":18},"因循環變差，請王太太直接站起來活動再坐下","因水溫過高造成頭暈，坐浴盆內應添入冷水降溫","因姿勢性低血壓，協助其身體前傾，並使頭部低於心臟","因保暖不足故需提供毛毯，並告知可以繼續浸泡","C",null,[],"本題考點為坐浴引起血管擴張性低血壓的處理。溫水浸泡使周邊血管擴張、血液鬱積於下半身與皮膚,回心血量減少、腦部灌流不足,即出現頭暈、無力、臉色蒼白,心跳加快則是代償反應;此時應停止坐浴,協助病人身體前傾、使頭部低於心臟,利用重力增加腦部血流,故C正確。A錯誤,直接站起會使血液更往下肢鬱積,加重腦部缺血甚至跌倒;B錯誤,問題根源是血管擴張致回心血量不足,添冷水無法改善已發生的低血壓;D錯誤,繼續浸泡會使血管持續擴張、症狀惡化。","機轉鏈:溫熱→周邊血管擴張→靜脈回流減少→心輸出量下降→腦灌流不足→頭暈、蒼白;心跳加快是頸動脈竇壓力感受器偵測血壓下降後啟動的交感代償。處理原則與姿勢性低血壓相同:先讓頭部低於心臟(前傾或平躺)、移除熱源、之後緩慢改變姿勢。延伸連結:泡溫泉後暈倒、洗熱水澡後起身眼前發黑,皆為同一機轉,考題情境常互換。",[25,27,29],{"term":26,"count":11},"血管擴張性低血壓",{"term":28,"count":11},"回心血量與腦灌流",{"term":30,"count":11},"壓力感受器代償",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-115-1-fundamental-nursing-017","有關輸血注意事項，下列敘述何者正確？①每單位血品最好在2小時內輸完              ②可應用輸血加壓器來協助輸血（壓力＞300 mmHg）    ③使用輸血加溫器，溫度以38℃～40℃為原則        ④最初15分，滴速宜維持20～40 gtt\u002Fmin",17,{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-106-1-fundamental-nursing-013","有關孫小姐「Steam inhalation 15 min S.O.S.」醫囑的敘述，下列何者錯誤？",13,106,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-106-2-fundamental-nursing-027","扭傷 48 小時後，使用熱敷的主要目的，下列何者正確？",27,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-107-2-fundamental-nursing-065","組織中的溝通是持續性的，意指：",65,107,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-109-1-fundamental-nursing-029","下列有關體液電解質不平衡之敘述，何者正確？",29,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-110-1-fundamental-nursing-063","有關排班的敘述，下列何者正確？",63,110,"2026-08-06",1787299088155]