[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-024":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-024","nurse-115-1-fundamental-nursing-024",115,1,24,"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？",{"A":15,"B":16,"C":17,"D":18},"膝膕動脈","股動脈","足背動脈","脛後動脈","C",null,[],"本題考點為心導管檢查後的遠端循環評估。經股動脈穿刺的心導管檢查,術後須評估穿刺側下肢遠端的血液循環,以早期發現血栓、栓塞或血腫壓迫造成的血流障礙;評估部位應選穿刺點「遠端」且表淺易觸摸的動脈——足背動脈位於足背第一、二蹠骨間、位置表淺,是下肢最遠端的常規觸診點,最能反映整條下肢動脈的通暢情形,故C正確。A膝膕動脈位置深且非最遠端;B股動脈即穿刺部位本身,無法反映遠端灌流;D脛後動脈雖位於遠端(內踝後方),但位置較深、觸診便利性不如足背動脈,非最佳選擇。","術後照護重點:先標記足背動脈位置並比較兩側搏動強度,同時以「5P」評估肢體循環——疼痛(Pain)、蒼白(Pallor)、無脈(Pulselessness)、感覺異常(Paresthesia)、麻痺(Paralysis),並觀察肢體溫度與微血管回填時間(正常小於2秒)。穿刺處以沙袋加壓、患肢伸直勿彎曲數小時,觀察出血與血腫。若足背動脈觸摸不到,可改觸脛後動脈或以都卜勒超音波確認,兩者互為備援。",[25,27,29],{"term":26,"count":11},"足背動脈觸診",{"term":28,"count":11},"股動脈穿刺術後評估",{"term":30,"count":11},"肢體循環 5P 評估",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-115-1-fundamental-nursing-025","關於發燒的類型，下列敘述何者錯誤？",25,{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-106-1-fundamental-nursing-021","周先生，60 歲，3 天未解便，醫囑「Bisacodyl（Dulcolax）10 mg\u002Fsupp 1# supp stat」，下列措施何者適當？①給藥前予腹部評估 ②給藥時協助病人採取右側臥 ③以棉枝輕推藥物進入直腸 ④藥物推入後請病人保持原姿勢 15 分鐘",21,106,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-106-2-fundamental-nursing-035","為中風老人翻身側臥擺位時，下列敘述何者不適當？",35,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-107-2-fundamental-nursing-073","有關醫療廢棄物的敘述，下列何者錯誤？",73,107,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-109-1-fundamental-nursing-037","有關成人耳溫及其測量的敘述，下列何者錯誤？",37,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-110-1-fundamental-nursing-071","因個人擁有高度專業知識技能而贏得部屬的尊敬和信從，是屬於下列何種影響力？",71,110,"2026-08-06",1787299088235]