[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-115-2-基本護理學與護理行政-013","nurse-115-2-fundamental-nursing-013",115,2,13,"扁桃腺手術後，醫囑開立冰領使用，有關冷應用與照護的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"此時使用冰領的最主要目的是降低病人新陳代謝率","為了達到最好的效果，每次用冷時間是 40 分鐘","使用冰領後，影響病人咽、喉對冷刺激的反應，此為交感性反應","用冷期間，護理師應至少每 30 分鐘觀察病人用冷部位皮膚狀況與反應","C",null,[],"本題考點是冷療的生理效應與交感性反應的概念。交感性反應指身體某部位施予冷或熱刺激後,鄰近或相對應部位也出現相同性質的反應;冰領置於頸部使咽喉黏膜同受低溫影響,對冷刺激的反應因而改變,即屬此類,故選 C。A 錯在扁桃腺術後使用冰領的主要目的是局部血管收縮以止血、減輕腫脹與疼痛,降低全身新陳代謝率並非用意。B 錯在單次用冷通常以 20 至 30 分鐘為限,過久會出現續發反應使血管反射性擴張,反而抵銷療效。D 錯在冷療期間皮膚觀察應更密集,不能長到 30 分鐘才查看一次。","冷療的四大效應是血管收縮、降低神經傳導與痛覺、降低細胞代謝與發炎反應、減少肌肉痙攣;續發反應的臨界時間約 30 分鐘,正是「用冷不超過 30 分鐘」規則的由來。扁桃腺術後的觀察重點還包括頻繁吞嚥動作與嘔吐咖啡色物,兩者都提示可能出血。交感性反應屬較冷門的名詞,各版教科書的定義寫法略有差異,複習時把名詞與現象的對應記牢即可,不必過度延伸。",[25,28,30,33],{"term":26,"count":27},"冷療生理效應",3,{"term":29,"count":11},"交感性反應",{"term":31,"count":32},"續發反應",1,{"term":34,"count":32},"扁桃腺術後護理",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-2-fundamental-nursing-014","有關電熱墊使用的注意事項，下列護理指導何者錯誤？",14,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-fundamental-nursing-060","護理長稽核每日上班護理師護理紀錄的完整性，每月不完整次數的第一名護理師要負責清潔同仁們的置物櫃。這是屬於下列那一種理論？",60,106,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-106-2-fundamental-nursing-074","有關 Blake 等人提出的管理方格理論，下列何者錯誤？",74,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-108-1-fundamental-nursing-032","常出現於打噴嚏、大笑、咳嗽及快速走路時，因腹壓增加排出少於 50 c.c.的尿液。這是屬於那一種尿失禁（incontinence of urine）？",32,108,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-109-1-fundamental-nursing-076","年底時，護理師知道護理長正在進行年度考績評核，此時期刻意表現優於平常，這是屬於下列何者？",76,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-2-fundamental-nursing-030","有關冷熱效用的敘述，下列何者最適當？",30,110,"2026-08-06",1787299031550]