[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-030","nurse-115-2-fundamental-nursing-030",115,2,30,"有關中央靜脈營養療法，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"常見的合併症，包括空氣栓塞、菌血症等","輸注初期之滴速，宜先快速滴注再調慢，以減少低血糖風險","無特殊情況，脂肪製劑滴注完畢後 8 小時，方可進行三酸甘油酯抽血檢驗","中央靜脈營養療法之管路，不可做為給藥或抽血的途徑","B",null,[],"本題考點是中央靜脈營養療法(TPN)的輸注與管路原則。TPN 是高濃度葡萄糖配方,開始時必須以低速滴注,讓胰島素分泌逐步適應後再依血糖調整加快;若一開始就快速滴注,將造成高血糖與滲透性脫水,而結束時反而要逐漸減慢以避免反彈性低血糖,故 B 所述「先快速再調慢以減少低血糖」方向完全相反,為錯誤敘述,選 B。A 正確,中央導管的置入與高糖環境使空氣栓塞與導管相關菌血症成為典型合併症。C 正確,脂肪乳劑會使血中三酸甘油酯暫時升高,須間隔數小時後抽血數值才具代表性。D 正確,TPN 管路應專用以降低污染與藥物配伍風險。","把 TPN 的速度原則記成「慢起慢收」:起始慢是因為內生胰島素分泌需要時間上調,收尾慢是因為血中胰島素濃度已被高糖環境拉高,突然停止會出現反彈性低血糖。合併症可依時間軸分三類:置入期的機械性問題(氣胸、空氣栓塞、導管位置不當)、使用期的感染問題(出口感染、導管相關血流感染)、代謝問題(高血糖、電解質與磷鉀鎂驟降的再餵食症候群、肝功能異常)。管路專用的理由是每次接口打開都增加污染機會,且高濃度營養液與許多藥物有沉澱與配伍禁忌;自 TPN 管路抽血還會被殘留營養液污染,使血糖與三酸甘油酯值失真。可延伸連結再餵食症候群的低磷機轉。",[25,28,30,32,34],{"term":26,"count":27},"中央靜脈營養療法",1,{"term":29,"count":27},"滴注速度原則",{"term":31,"count":27},"反彈性低血糖",{"term":33,"count":27},"導管相關血流感染",{"term":35,"count":27},"脂肪乳劑與三酸甘油酯",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-2-fundamental-nursing-031","病人有留置鼻胃管，因感染 B 型流行感冒住院，有關此病人鼻胃管護理之敘述，下列何者正確？",31,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-106-1-fundamental-nursing-077","某新進護理師在護理長輔導下，第二年獲頒「進步小天使」獎，護理長是運用下列何種權力影響？",77,106,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-107-1-fundamental-nursing-011","醫囑為 D.C. Aspirin 100 mg 1# P.O.之含意，下列何者正確？",11,107,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-108-1-fundamental-nursing-049","有關臨終病人的生理變化與照護，下列敘述何者錯誤？",49,108,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-2-fundamental-nursing-013","醫療廢棄物之收集處理方式，下列何者錯誤？",13,109,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-110-2-fundamental-nursing-047","下列個案情境，何者未達國際睡眠障礙分類法所建議失眠（insomnia）的標準？",47,110,"2026-08-06",1787299031763]