[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"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":26},"nurse-115-2-基本護理學與護理行政-018","nurse-115-2-fundamental-nursing-018",115,2,18,"下列何者不屬於特別口腔護理的適應症？",{"A":15,"B":16,"C":17,"D":18},"高流量氧氣治療","類固醇藥物治療","鼻胃管灌食","可咀嚼無吞嚥困難","D",null,[],"本題考點是特別口腔護理的適應症判準:凡無法自行維持口腔清潔,或口腔黏膜與唾液分泌處於高風險狀態者才需要。高流量氧氣治療的氣流帶走水分使黏膜乾燥,類固醇治療抑制局部免疫而提高念珠菌感染機會,鼻胃管灌食者未經口進食、缺少咀嚼與食物摩擦帶來的自然清潔作用,三者都是適應症。D 的病人可咀嚼且無吞嚥困難,能自行漱口刷牙、唾液自清機制完整,只需一般口腔衛生指導,故選 D。","適應症可歸成四類:意識或活動受限(昏迷、術後、極度虛弱)、經口進食中斷(禁食、鼻胃管灌食、全靜脈營養)、黏膜乾燥或受損(張口呼吸、氧氣治療、放射線治療、脫水發燒)、免疫或口腔菌相改變(類固醇、抗生素、化學治療)。關鍵機轉是唾液本身具沖洗與抗菌作用,禁食時分泌明顯減少。昏迷者執行時的安全概念是側臥、頭偏一側以防吸入,並避免使用含酒精的漱口水以免加重黏膜乾燥。",[25,27,29,32],{"term":17,"count":26},6,{"term":28,"count":11},"口腔念珠菌感染",{"term":30,"count":31},"特別口腔護理適應症",1,{"term":33,"count":31},"唾液自清作用",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-2-fundamental-nursing-019","食糜隨著結腸壁的收縮，將食糜推向下一個結腸袋，此為大腸的何種運動？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-106-1-fundamental-nursing-065","我國現行最高衛生行政機關為下列何者？",65,106,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-106-2-fundamental-nursing-079","承上題，經核對醫囑後，護理師將藥物退回藥局請他們重新配置藥物。所幸該錯誤之藥物尚未發給病人使用。上述的情況是屬於下列何種異常事件？",79,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-108-1-fundamental-nursing-037","關於留置導尿管護理之敘述，下列何者正確？①尿袋維持在膀胱以下 ②尿袋內尿量可超過 3\u002F4 ③每日執行至少一次的導尿管護理 ④尿袋若無結晶、血塊或沉澱物不需定期更換",37,108,{"webId":54,"stem":55,"number":31,"year":56,"session":11},"nurse-109-2-fundamental-nursing-001","有關因應壓力處理方法之敘述，下列何者錯誤？",109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-2-fundamental-nursing-035","病人右手臂正在進行靜脈輸液，護理人員發現其點滴流速不順暢、沒有回血、注射部位水腫且冰冷，下列處置何者最適當？",35,110,"2026-08-06",1787299031622]