[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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,"freq":11},"nurse-106-1-基本護理學與護理行政-043","nurse-106-1-fundamental-nursing-043",106,1,43,"針對此病人狀況，下列護理措施何者不適當？",{"A":15,"B":16,"C":17,"D":18},"以長捲軸置於身體兩側腰至膝蓋處避免髖部外旋","翻身時特別留意偏癱側肢體皮膚狀態","隨時評估病人的意識狀態變化","協助執行四肢關節加阻力運動","D",null,[],"本題考點為腦梗塞急性期、意識不清且完全臥床病人的復健與擺位原則。依關節活動原則,意識不清無法配合的臥床病人只能執行被動關節運動以維持關節活動度、預防攣縮,不可施行需病人主動出力並外加阻力的加阻力運動,故D為不適當措施。A以長捲軸(trochanter roll)置於腰至膝外側可防止髖關節外旋,屬正確擺位;B翻身時檢視偏癱側皮膚可預防壓傷,正確;C持續評估意識變化以掌握病情,正確。故不適當者為D。",[24,27,31,35,39,43],{"webId":25,"stem":26,"number":11,"year":10,"session":11},"nurse-106-1-fundamental-nursing-001","下列何者為預防院內感染最經濟有效的方法？",{"webId":28,"stem":29,"number":30,"year":10,"session":11},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",2,{"webId":32,"stem":33,"number":34,"year":10,"session":11},"nurse-106-1-fundamental-nursing-003","王先生因腦血管損傷住院中，下列何種灌注溶液不適合王先生使用？",3,{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-fundamental-nursing-004","醫囑為 Acetaminophen 1 tab q6h p.r.n. if BT≧39℃之含義，下列敘述何者正確？",4,{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-106-1-fundamental-nursing-005","測量 H5N1 流感病毒感染病人生命徵象時，下列何項防護設備較不必要？",5,{"webId":44,"stem":45,"number":46,"year":10,"session":11},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,1783840732931]