[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-049","nurse-115-2-medical-surgical-049",115,2,49,"有關中心導管組合式照護之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"每日評估是否拔除導管","輸注含血液製品或脂肪乳劑，應於輸注起 24 小時內更換管路","置入導管時，應以無菌洞巾和治療巾覆蓋病人全身及兩側床緣","優先選擇股動脈置入導管","D",null,[],"本題考點是中心導管組合式照護的感染管制要素。依導管相關血流感染的危險因子,置入部位以鎖骨下靜脈感染率最低,股靜脈鄰近會陰與屈曲部位,細菌定殖、敷料難以維持與血栓風險都最高,不應優先選用;且中心靜脈導管置入的是靜脈而非股動脈,故 D 錯誤。A 正確,每日評估留置必要性並儘早移除是降低感染最有效的單一措施。B 正確,含血液製品或脂肪乳劑的輸注液營養豐富易滋生微生物,須在輸注起 24 小時內更換管路。C 正確,置入時採最大無菌屏障防護,以無菌洞巾與治療巾覆蓋病人全身及兩側床緣,操作者並著全套無菌裝備。","延伸原理:組合式照護的概念是把數個各自證據不強的措施綁成必須全數做到的套組,靠整體遵從率降低感染,常見五大元素為手部衛生、最大無菌屏障、皮膚消毒、最佳置入部位選擇與每日評估移除,任一項打折就削弱整體成效。管路更換時間也有邏輯:一般輸注液可較久,含脂肪乳劑或血液製品因高營養與蛋白基質縮短為 24 小時內,這是以微生物生長速率為依據而非硬記數字。部位選擇口訣:鎖骨下最乾淨、頸內靜脈次之、股部最容易髒。監測重點在穿刺處紅腫熱痛與滲液、不明原因發燒與寒顫,尤其在沖洗管路後出現的畏寒更需警覺。可連結概念:導管尖端位置確認、周邊置入中心導管的適用時機、無菌技術原則。",[24,27,29,31,33],{"term":25,"count":26},"中心導管組合式照護",1,{"term":28,"count":26},"導管相關血流感染",{"term":30,"count":26},"最大無菌屏障",{"term":32,"count":26},"置入部位感染風險",{"term":34,"count":26},"輸注管路更換時間",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-050","有關休克病人處置後病況改善的表徵，下列何者最適宜？",50,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-medical-surgical-016","有關腸阻塞的敘述，下列何者正確？",16,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-medical-surgical-030","有關胃潰瘍的臨床症狀，下列何者正確？",30,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-medical-surgical-068","有關糖尿病病人運動之護理指導，下列何者正確？",68,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-medical-surgical-032","有關抗心律不整藥物，下列何者屬於鈉離子通道阻斷劑？",32,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-medical-surgical-066","引起代謝性酸中毒的原因，下列何者正確？①延腦異常 ②急性腎衰竭 ③肺擴張不全 ④血糖過高",66,110,"2026-08-06",1787299037384]