[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-026","nurse-115-1-fundamental-nursing-026",115,1,26,"病人雙側手臂因骨折以石膏固定，有關血壓測量的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"雖然打上石膏，仍可以測量橈動脈血壓","欲測量膝膕動脈時，壓脈帶氣囊應置於大腿中段前側","一般測得的膝膕動脈收縮壓數值較肱動脈數值為低","病人採俯臥姿勢，進行膝膕動脈血壓的測量","D",null,[],"本題考點是上肢無法使用時的間接血壓測量替代部位與擺位。依間接血壓測量原則，雙上肢有石膏固定時可改測下肢膝膕動脈，病人取俯臥、膝關節微彎，使聽診器能貼於膕窩處的膕動脈搏動點，故選 D。A 錯在石膏包覆的肢體禁綁壓脈帶，加壓會壓迫石膏下組織與循環，且標準聽診部位是肱動脈而非橈動脈。B 錯在測膕動脈時壓脈帶應纏於大腿中下段、氣囊中心對準大腿後側的膕動脈走向，置於前側等於未壓在目標動脈上，讀數必然失真。C 錯在下肢動脈距心臟較遠、血管較粗且壓力波反射較強，膕動脈收縮壓一般比肱動脈高約 10 至 40 mmHg，並非較低。","下肢收縮壓偏高源於壓力波往周邊傳導時的波形放大現象，愈往末梢收縮壓愈高、舒張壓略降，脈壓因而加寬；臨床用踝肱指數（ABI）評估周邊動脈阻塞，正常應大於等於 0.9，若下肢壓反而低於上肢即提示下肢動脈狹窄，這正是選項 C 被設計成陷阱的原因。記憶法：「石膏不綁、膕動脈俯臥、氣囊對後側、下肢壓較高」。可延伸複習壓脈帶寬度須為肢體周徑 40%（過窄讀值偏高、過寬偏低）、放氣速度每秒 2 至 3 mmHg 等測量誤差來源。",[25,27,29,31,33],{"term":26,"count":11},"間接血壓測量",{"term":28,"count":11},"膕動脈血壓",{"term":30,"count":11},"壓脈帶擺位原則",{"term":32,"count":11},"壓力波放大現象",{"term":34,"count":11},"石膏固定護理",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-1-fundamental-nursing-027","關於肢體繃帶包紮原則與注意事項，下列何者錯誤？",27,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-106-1-fundamental-nursing-023","外出旅遊泡溫泉時，易出現頭暈等不舒服症狀之原因為何？①排汗增加，血壓上升 ②體溫增加，散熱增加 ③血管擴張 ④肌肉鬆弛 ⑤頭部血流減少",23,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-fundamental-nursing-037","有關醫療環境中機械性傷害之敘述，下列何者正確？",37,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-fundamental-nursing-075","某醫學中心急診室接獲消防局的通知有大量氣爆傷患送至該院，該醫院急診室主任針對此緊急事件首先應執行下列那項工作？",75,107,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-1-fundamental-nursing-039","病人的呼吸開始時短而淺，之後漸漸加深，然後又逐漸下降，直至呼吸暫停或完全停止，呈週期性出現，此種呼吸型態稱為？",39,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-1-fundamental-nursing-073","病人因水腫氣喘至急診求助，經檢傷分類後至內科急診區域等候。護理師幫該病人抽血後，等候 50 分鐘才取得抽血報告。家屬因不耐久候、情緒失控，大吵大鬧。約 10 分鐘後醫師來看病人並解說病情。家屬抱怨等了 2 個小時，非常生氣，不聽醫療人員的說明。醫師見狀「冷處理」，家屬情緒更加激動。根據上述情境，醫師為了等待抽血結果才能進行後續醫療處置，但病人家屬是希望醫師趕快緩解病人氣喘及水腫的問題。依據 Daft & Marcic（2001）之分類，此為下列何種原因所產生的衝突？",73,110,"2026-08-06",1787299088259]