[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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":27},"nurse-115-1-基本護理學與護理行政-021","nurse-115-1-fundamental-nursing-021",115,1,21,"病人中風後左側肢體無力多年，活動量少、無法自己解便，家屬常以甘油球灌腸幫助排便。下列護理措施何者最適當？",{"A":15,"B":16,"C":17,"D":18},"每日早餐後協助病人坐在馬桶上","糞便嵌塞時以肥皂水灌腸最有效","每日攝取2,500～3,000 mL的橘子汁","協助以手由左至右順著結腸按摩","A",null,[],"本題考點在長期臥床病人的排便訓練。依胃結腸反射,進食後胃部擴張會誘發結腸集團蠕動,把握早餐後三十分鐘內的反射高峰協助坐在馬桶上,可同時利用反射與重力,建立固定的排便時間並減少對甘油球的依賴,故 A 最適當。B 錯誤,肥皂水屬刺激性溶液,易造成腸黏膜損傷,糞便嵌塞的處理順序是先軟化再清除,不以肥皂水灌腸為首選。C 錯誤,液體攝取量本身不是問題所在——排便訓練常設在每日兩千至三千毫升——問題在於把全部液體換成橘子汁,高糖高酸容易造成腹瀉與腸胃不適。D 錯誤,結腸按摩須順著升結腸、橫結腸、降結腸的走向由右至左。","甘油球屬高滲性小量灌腸,作用是把水分吸入腸腔並潤滑刺激直腸壁引發排便反射,長期使用會使直腸對糞便的敏感度下降、形成依賴,這是題幹刻意設定的背景。排便訓練的四根支柱可記成「時間、姿勢、纖維水分、活動」:固定利用胃結腸反射的時段;採坐姿並使髖膝屈曲、腳踩支撐以增加腹內壓;每日膳食纖維約二十至三十公克配合足量液體;在可行範圍增加活動與床上運動維持腸蠕動。中風後單側肢體無力使活動量下降,腸蠕動與腹肌用力效率同時降低,便秘因此是常見的長期問題。可延伸複習:灌腸溶液種類與作用機轉比較、Sims 左側臥的解剖理由、糞便嵌塞的評估表徵如溢流性失禁。",[25,28,31,33,35],{"term":26,"count":27},"胃結腸反射",6,{"term":29,"count":30},"結腸解剖走向",2,{"term":32,"count":11},"排便訓練",{"term":34,"count":11},"甘油球高滲灌腸",{"term":36,"count":11},"膳食纖維與液體攝取",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-115-1-fundamental-nursing-022","有關導尿管大小選擇原則，下列何者正確？",22,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-106-1-fundamental-nursing-018","郭護理師正在準備一位即將手術的 A 病人肌肉注射術前給藥，已將藥物抽好在針筒中；這時 B 病人因點滴不滴而拉紅燈，郭護理師在處理 B 病人的點滴問題時，同時接到須立即送 A 病人至手術室的通知；此時王護理師過來協助，郭護理師請王護理師幫忙執行 A 病人之術前給藥肌肉注射；下列何者為王護理師當下最適當的反應？",18,106,{"webId":48,"stem":49,"number":50,"year":46,"session":30},"nurse-106-2-fundamental-nursing-032","在大量灌腸過程中，病人主訴感到輕微腹痛時，護理師採用的護理措施，下列何者正確？",32,{"webId":52,"stem":53,"number":54,"year":55,"session":30},"nurse-107-2-fundamental-nursing-070","醫院護理部延聘學者擔任顧問，協助指導同仁從事護理研究，這是屬於官僚式組織（bureaucracy organization）中何種類型？",70,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-1-fundamental-nursing-034","王太太 58 歲，用力咳嗽或者大笑時就會出現滲尿，心情受影響情緒低落，下列何項護理措施不合適？",34,109,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-110-1-fundamental-nursing-068","為提升醫院的研發能力，醫院集結各領域的研究創新人才，組成一個新的育成中心。此種組織結構設計屬於下列何種類型？",68,110,"2026-08-06",1787299088215]