[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-024":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":27},"nurse-115-2-基本護理學與護理行政-024","nurse-115-2-fundamental-nursing-024",115,2,24,"有關測量頸動脈搏動的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"同時按壓兩側頸動脈","適用於休克病人","沿著胸鎖乳突肌下緣觸摸","姿勢採側臥姿測量","B",null,[],"本題考點是頸動脈觸診的位置、姿勢與適用時機。頸動脈是最接近心臟的大動脈之一,休克或心跳停止時周邊灌流不足、橈動脈常摸不到,頸動脈仍可觸及,因此評估休克與心跳停止時以頸動脈為首選,B 正確。A 錯在絕不可同時按壓兩側頸動脈,會同時減少雙側腦部血流,也可能刺激頸動脈竇壓力接受器造成反射性心跳與血壓下降。C 錯在頸動脈位於氣管與胸鎖乳突肌之間、沿該肌內側前緣觸摸,不是下緣。D 錯在測量姿勢採平躺或半坐臥、頭略轉向對側以放鬆肌肉,側臥並非標準姿勢。","壓力接受器反射是理解禁忌的關鍵:頸動脈竇受壓時被誤判為血壓升高,經迷走神經反射使心跳變慢、血管擴張,可能引發昏厥或心律不整。判斷心跳停止時觸摸頸動脈的時間上限為 10 秒,以免延誤胸外按壓。其他脈搏部位的臨床意義:橈動脈為常規測量部位、股動脈與頸動脈用於低灌流狀態、足背與後脛動脈評估下肢循環、心尖搏動用於嬰幼兒與心律不規則者。",[25,28,31,33],{"term":26,"count":27},"脈搏測量部位",3,{"term":29,"count":30},"頸動脈觸診",1,{"term":32,"count":30},"頸動脈竇壓力接受器反射",{"term":34,"count":30},"休克評估",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-2-fundamental-nursing-025","影響病人血壓下降的因素，下列何者正確？①年長者 ②過敏性休克 ③飲用紅酒 ④服用類固醇",25,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-106-1-fundamental-nursing-071","病房小組長常中斷工作夥伴的說話，且不斷的表達自己的想法。這是違反下列那一項建設性的溝通技巧？",71,106,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-107-1-fundamental-nursing-005","依據疾病管制署公告，為懷疑有伊波拉病毒感染病人執行常規醫療照護時，下列何項個人防護設備不適宜？",5,107,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-108-1-fundamental-nursing-043","下列有關睡眠週期特徵之敘述，何者正確？",43,108,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-2-fundamental-nursing-007","有關 S.O.A.P.I.E. （ subjective data, objective data, assessment, plan, implementation, evaluation）與 D.A.R.T. （data, action, response, teaching）焦點紀錄法之敘述，下列何者錯誤？",7,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-2-fundamental-nursing-041","為老年病人執行背部護理時，下列何者不適當？",41,110,"2026-08-06",1787299031697]