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次／分，孫先生出現發燒現象，下列護理措施何者不適當？",{"webId":362,"number":51,"stem":363,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-011","有關呼吸特性之敘述，下列何者正確？",{"webId":365,"number":55,"stem":366,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-012","沾到病人血液的傷口紗布，應依下列何種廢棄物規定處理？",{"webId":368,"number":59,"stem":369,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-013","醫療廢棄物之收集處理方式，下列何者錯誤？",{"webId":371,"number":63,"stem":372,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-014","有關病歷的注意事項及保存之敘述，下列何者正確？",{"webId":374,"number":67,"stem":375,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-015","下列何者不是主責護理（primary nursing）之特性？",{"webId":377,"number":71,"stem":378,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-016","下列護理評估，何者屬於客觀資料（objective 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④保持脊柱彎曲",{"webId":437,"number":151,"stem":438,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-036","為老年人執行床上沐浴，下列何者正確？",{"webId":440,"number":155,"stem":441,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-037","蘇太太中風、肢體偏癱住院，家屬認為病人乃因天冷保暖不足才會中風，因此給予其穿四件衣服、戴毛帽，現病人冒汗，身上有異味，護理師欲協助減少衣物，但家屬拒絕，下列護理措施何者最為合適？",{"webId":443,"number":159,"stem":444,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-038","執行成人女性無菌導尿技術之敘述，下列何者正確？",{"webId":446,"number":163,"stem":447,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-039","一位心房纖維震顫病史的病人，其橈動脈 52 次／分鐘、搏動規律，病人無感到頭暈及疲倦，為了確認病人是否出現脈搏短絀的問題，下列何者為最適當之立即性處置？",{"webId":449,"number":167,"stem":450,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-040","一般成人的大腿血壓測量方式與結果之敘述，下列何者正確？",{"webId":452,"number":171,"stem":453,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-041","血壓數值為 140\u002F80 mmHg，其平均動脈壓數值為多少 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culture）之目的，下列何者正確？①檢查是否有細菌感染 ②測量腎小管再吸收能力 ③檢驗腎臟過濾與排泄功能 ④作為抗生素使用的依據",{"webId":485,"number":215,"stem":486,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-052","下列何者為痰液呈現鐵鏽色之最可能原因？",{"webId":488,"number":219,"stem":489,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-053","收集男性病人的尿液標本進行尿液培養之敘述，下列何者正確？①將病人晨起第一次解尿的中段尿，置於乾淨尿杯 ②長期導尿者，打開尿袋底端開口，倒出尿液於標本試管內 ③收集好之尿液標本，需在 30 分鐘內送檢 ④懷疑有尿道感染者，宜先收集尿液檢體後再注射抗生素",{"webId":491,"number":223,"stem":492,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-054","當瀕死病人時常出現哭泣行為，處於憂鬱期時之護理措施，下列何者最適當？①減少探視病人的次數，讓其獨處減少干擾 ②移除室內具有自我傷害的危險物品 ③鼓勵其表達內心害怕，允許哭泣 ④告訴她憂愁也無濟於事，應該正向看待",{"webId":494,"number":227,"stem":495,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-055","有關臨終病人生理變化之敘述，下列何者錯誤？",{"webId":497,"number":231,"stem":498,"subject":332,"subjectSlug":333},"nurse-109-2-fundamental-nursing-056","接受安寧居家照護的臨終病人，其意識不清，且出現瀕死嘎嘎音（death 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④腸蠕動音增強",{"webId":619,"number":71,"stem":620,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-016","病人主訴「餓的時候疼痛，常常半夜痛醒」，下列何者為其最大可能之診斷？",{"webId":622,"number":75,"stem":623,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-017","有關刺激胃液分泌的因素，下列何者正確？",{"webId":625,"number":79,"stem":626,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-018","有關骨性關節炎的診斷檢查，下列何者正確？",{"webId":628,"number":83,"stem":629,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-019","下列何者為退化性關節炎的高危險群？①BMI 35 kg\u002Fm 2 ②長期服用腎上腺皮質類固醇 ③重複性右膝受傷史 ④停經後婦女",{"webId":631,"number":87,"stem":632,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-020","右側下肢無力需要使用手杖之病人，下列使用方法何者最正確？",{"webId":634,"number":91,"stem":635,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-021","病人右大腿骨折上石膏 3 個月，拆除石膏時，不會看到下列那種現象？",{"webId":637,"number":95,"stem":638,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-022","有關聽力喪失可聽見的音量敘述，下列何者錯誤？",{"webId":640,"number":99,"stem":641,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-023","有關鼻竇炎術後的護理措施，下列何者錯誤？",{"webId":643,"number":103,"stem":644,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-024","有關美尼爾氏症之敘述，下列何者正確？①可能原因是外耳淋巴液過多 ②症狀為雙側傳導性聽力減退 ③使用血管擴張劑減輕耳鳴症狀 ④藥物治療無效時，可採迷路切除術",{"webId":646,"number":107,"stem":647,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-025","有關白內障之敘述，下列何者錯誤？",{"webId":649,"number":111,"stem":650,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-026","僧帽瓣逆流或狹窄的病人，易出現下列何種症狀？①呼吸困難 ②下肢水腫 ③端坐呼吸 ④咳嗽 ⑤肝腫大",{"webId":652,"number":115,"stem":653,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-027","心包填塞（cardiac tamponade）之臨床表徵，下列何者正確？①低沉的心音 ②中心靜脈壓上升 ③奇異脈 ④脈搏壓變寬",{"webId":655,"number":119,"stem":656,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-028","造成心因性休克的主要原因，不包括下列何者？",{"webId":658,"number":123,"stem":659,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-029","林空服員近日覺得小腿不適，護理師採取下列何項評估其深部靜脈栓塞？",{"webId":661,"number":127,"stem":662,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-030","曾先生心臟衰竭住院，住院時出現臉色蒼白、冒冷汗、陣發性夜間呼吸困難及咳出大量帶有血絲的泡沫痰。請問曾先生出現那一種合併症？",{"webId":664,"number":131,"stem":665,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-031","有關心絞痛之常用藥物 Nitroglycerine（NTG）之護理指導，下列何者錯誤？",{"webId":667,"number":135,"stem":668,"subject":574,"subjectSlug":575},"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？",{"webId":670,"number":139,"stem":671,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-033","有關病人心電圖 VT 之相關處置，下列何者正確？",{"webId":673,"number":143,"stem":674,"subject":574,"subjectSlug":575},"nurse-109-2-medical-surgical-034","心衰竭病人之心電圖持續出現明顯 U 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歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",{"webId":933,"number":167,"stem":934,"subject":816,"subjectSlug":817},"nurse-109-2-maternal-pediatric-040","有關毒性休克症候群之敘述，下列何者正確？",{"webId":936,"number":171,"stem":937,"subject":816,"subjectSlug":817},"nurse-109-2-maternal-pediatric-041","小畢 3 歲，因為經常出現咬手、打頭、撞牆行為而就醫，醫師診斷有自閉症，護理師指導父母有關自閉症的兒童照護，下列何者錯誤？",{"webId":939,"number":175,"stem":940,"subject":816,"subjectSlug":817},"nurse-109-2-maternal-pediatric-042","下列何者較不屬於兒童遭受虐待／疏忽的常見徵象？",{"webId":942,"number":179,"stem":943,"subject":816,"subjectSlug":817},"nurse-109-2-maternal-pediatric-043","臺灣發展遲緩早期療育實施服務的流程，主要負責協調整合與管理的窗口為何？",{"webId":945,"number":183,"stem":946,"subject":816,"subjectSlug":817},"nurse-109-2-maternal-pediatric-044","有關預防嬰幼兒鉛中毒，下列可減少鉛的吸收之敘述，何者錯誤？",{"webId":948,"number":187,"stem":949,"subject":816,"subjectSlug":817},"nurse-109-2-maternal-pediatric-045","強強 4 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④肺臟功能",{"webId":1067,"number":23,"stem":1068,"subject":1058,"subjectSlug":1059},"nurse-109-2-psychiatric-community-004","病人因罹患厭食症入院治療，母親說病人多次表示自己並非其親生的，很恨母親。但病人於會談中告訴護理師：「母親非常完美，而且非常懂得如何愛小孩。」病人主要使用何種防衛機轉？",{"webId":1070,"number":27,"stem":1071,"subject":1058,"subjectSlug":1059},"nurse-109-2-psychiatric-community-005","護理師在進行精神病人的行為治療過程中，依病人特性設計有效的行為治療計畫，其常用的治療技術，下列何項正確？①正增強 ②認知療法 ③代幣制度 ④行為逐步養成",{"webId":1073,"number":31,"stem":1074,"subject":1058,"subjectSlug":1059},"nurse-109-2-psychiatric-community-006","護理師在照顧精神疾病病人服藥時，下列關於評估病人可能出現服藥副作用的敘述，何者正確？",{"webId":1076,"number":35,"stem":1077,"subject":1058,"subjectSlug":1059},"nurse-109-2-psychiatric-community-007","40 歲的張小姐患有憂鬱症，某日向護理師抱怨：「吃藥讓我覺得非常不舒服，可否請你告訴醫生？」下列何項護理師的回答較為合適？",{"webId":1079,"number":39,"stem":1080,"subject":1058,"subjectSlug":1059},"nurse-109-2-psychiatric-community-008","阿雄國小三年級，自從父母離婚後，與母親相依為命，但於母親再婚後出現翹課、不參加活動，顯得鬰鬰寡歡，母親極為苦惱而接受家庭治療的幫助，有關其家庭治療的主要目的，下列何項正確？ ①矯正個人性格的偏差 ②改善家庭功能 ③協助家庭改善問題 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