[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-2-內外科護理學-018","nurse-115-2-medical-surgical-018",115,2,18,"有關急性心肌梗塞後病人的運動原則，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"用餐後應稍作休息，不宜立即運動","宜採漸進性的方式增加活動量","應多做等長運動以增加肌肉耐力","運動中不可有憋氣或閉氣用力的動作","C",null,[],"本題考點是急性心肌梗塞後心臟復健的運動選擇原則。依運動生理,等長運動(如舉重、推牆、握力訓練)使肌肉持續收縮而不改變關節角度,過程常伴隨閉氣用力,造成周邊血管阻力與血壓驟升、心臟後負荷與心肌耗氧量增加,對剛受損的心肌不利,復健應以漸進式等張(有氧)運動為主,故錯誤敘述為 C。A 正確,餐後血液集中於消化道,立即運動會加重心臟負擔,宜先休息。B 正確,活動量須依症狀與心率反應漸進增加。D 正確,憋氣用力屬伐氏操作,會使胸腔內壓與血壓大幅波動而增加心臟負荷。","血流動力學對比是核心:等張運動時肌肉節律性收縮舒張,骨骼肌泵促進靜脈回流,心跳與心輸出量上升而周邊阻力下降,心肌氧供需較能平衡;等長運動時肌肉持續壓迫血管,阻力與收縮壓明顯上升而心輸出量增加有限,對缺血心肌不划算。運動處方常以自覺用力程度量表與心率儲備百分比控制強度,並強調暖身與緩和期各 5 至 10 分鐘,避免突然起停。停止運動的警訊可整組記:胸痛或胸悶、呼吸困難加劇、頭暈冒冷汗、心跳過快或不規則、血壓異常反應。此外極端氣溫、洗熱水澡後與飽餐後都是不宜運動的時機。",[24,27,30,32],{"term":25,"count":26},"心肌耗氧量",4,{"term":28,"count":29},"心肌梗塞後心臟復健",1,{"term":31,"count":29},"等長運動與等張運動",{"term":33,"count":29},"伐氏操作",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-2-medical-surgical-019","下列何種心律不整，可以使用按摩頸動脈竇的方式來使心律恢復正常？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-106-1-medical-surgical-065","有關 BUN 與 Serum Creatinine 比值的敘述，下列何者正確？",65,106,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-106-2-medical-surgical-079","楊先生 50 歲，患有高血壓超過 10 年，目前被診斷有慢性腎疾病，為減緩腎功能衰退，應指導其血壓控制在下列何種範圍？",79,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-1-medical-surgical-037","有關癌細胞特性之敘述，下列何者錯誤？",37,108,{"webId":54,"stem":55,"number":29,"year":56,"session":10},"nurse-109-2-medical-surgical-001","有關顱內壓升高的處置，下列敘述何者正確？",109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-035","有關癌症危險因子的敘述，下列何者錯誤？",35,110,"2026-08-06",1787299037094]