[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-023":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-023","nurse-115-1-fundamental-nursing-023",115,1,23,"有關協助病人採坐臥姿之敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"適用於腹水的病人","適用於腹部大出血病人","需預防病人發生姿位性低血壓","需預防薦骨處受壓","B",null,[],"本題考點為坐臥姿的適應症與禁忌。坐臥姿使橫膈下降、胸腔擴張空間增加而利於呼吸,適用於腹水、呼吸困難的病人,A正確;但腹部大出血病人因血容量不足、有休克之虞,應採平躺並可抬高下肢以維持腦部與重要器官灌流,若採坐臥會使血液鬱積下半身、回心血量更少而加重休克,故B錯誤,為本題答案。C正確,坐臥後改變姿勢起身時,須預防姿位性低血壓;D正確,坐臥時身體易下滑,剪力與壓力集中於薦骨處,須注意減壓以預防壓力性損傷。","半坐臥(Fowler's)角度分級:低半坐臥15-30度、半坐臥45-60度、高坐臥約90度。適應症:呼吸困難、心臟疾病、腹水、胸腔引流、進食防嗆。禁忌對照:休克與大出血→平躺或抬高下肢以增加回心血量;脊椎損傷→平躺並以圓滾木式翻身。薦骨剪力機轉:床頭搖高後身體下滑,皮膚表層固定而深層組織位移,血管被剪切扭曲缺血,是壓力性損傷的重要成因,故壓瘡高風險者床頭以不超過30度為原則。",[25,27,29],{"term":26,"count":11},"半坐臥姿適應症",{"term":28,"count":11},"休克姿勢與回心血量",{"term":30,"count":11},"剪力與壓力性損傷",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-115-1-fundamental-nursing-024","病人接受心導管檢查後，下列何處是評估下肢血液循環的最佳部位？",24,{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-106-1-fundamental-nursing-020","病人因血栓接受肝素（Heparin）治療，下列敘述何者正確？①適合採用肌肉注射給藥 ②注射肝素時需回抽有無回血 ③需監測 activated partial thromboplastin time（aPTT） ④注射後不需按摩",20,106,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-106-2-fundamental-nursing-034","毛先生鼻咽癌接受同步化學治療與放射線治療，口腔內頰有一個 2 × 2 公分的潰瘍，可使用的口腔護理溶液，下列何者不適當？",34,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-107-2-fundamental-nursing-072","為訓練護理師專業知識、技能，以提供病人整合性與連續性照護。設立下列何種委員會較為適合？",72,107,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-109-1-fundamental-nursing-036","一位初入院的病人主訴不適且左側無力，血壓數值右手 148\u002F76 mmHg、左手 120\u002F66 mmHg，下列處置何者較適當？",36,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-110-1-fundamental-nursing-070","有關人力資源管理，下列何者不是護理員工教育訓練之目的？",70,110,"2026-08-06",1787299088231]