[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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":23},"nurse-106-2-基本護理學與護理行政-007","nurse-106-2-fundamental-nursing-007",106,2,7,"林先生在修理門窗時不慎由二樓摔下來，經家人送到醫院急診時，臉色蒼白、閉眼皺眉、呼吸急促並主訴頭暈。護理師測得其血壓為 142\u002F96 mmHg、心跳 102 次\u002F分。下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"血壓及頭暈為主觀症狀","呼吸急促及臉色蒼白為客觀症狀","閉眼皺眉及心跳為徵象（signs）","血壓及呼吸急促為徵象","B",null,[],"本題考點為主觀症狀（symptom）與客觀徵象（sign）的區辨：徵象是護理師可觀察或測量的客觀資料，症狀則為病人主訴的主觀感受。臉色蒼白與呼吸急促皆由護理師直接觀察得到，屬客觀資料，故選 B。A 錯在把血壓歸為主觀，血壓是測量所得的客觀值，頭暈才是主觀。D 將血壓與呼吸急促皆列為徵象雖屬客觀，但本題要辨識的是「客觀對主觀」的正確配對，D 未涵蓋題目要點；C 把心跳列為徵象正確，但將「閉眼皺眉」歸類易生爭議，非最適配對。故最佳答案為 B。",1,[25,28,31,35,39,43],{"webId":26,"stem":27,"number":23,"year":10,"session":23},"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":29,"stem":30,"number":11,"year":10,"session":23},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",{"webId":32,"stem":33,"number":34,"year":10,"session":23},"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":23},"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":23},"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":23},"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？",6,1783840736210]