[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-014":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-014","nurse-106-2-fundamental-nursing-014",106,2,14,"病人術後第一天 24 小時輸入輸出量紀錄為大量點滴輸入 1200 mL，小便 1500 mL，傷口引流液 550 mL，鼻胃管引流液 550 mL，輸血 200 mL，下列護理處置何者最適宜？",{"A":15,"B":16,"C":17,"D":18},"停止鼻胃管引流，開始由口進食","繼續觀察 1 至 2 天","需報告醫師處理","先給予限水，並調慢點滴流速","C",null,[],"本題考點為術後輸入輸出量（I\u002FO）的判讀與適當處置。計算輸入等於點滴 1200 加輸血 200，共 1400 mL；輸出等於小便 1500 加傷口引流 550 加鼻胃管引流 550，共 2600 mL，呈明顯負平衡（約負 1200 mL）且總輸出量偏高，提示體液不足風險，須報告醫師評估補液，故選 C。A 停鼻胃管改由口進食缺乏醫囑依據且未處理失衡；B 僅繼續觀察 1 至 2 天恐延誤處置；D 自行限水並調慢點滴會加重負平衡與脫水，方向錯誤。故正確處置為報告醫師。",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？",6,1783840736281]