[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-048":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-107-1-基本護理學與護理行政-048","nurse-107-1-fundamental-nursing-048",107,1,48,"75 歲王先生診斷中風，左側肢體肌力 1 分，右側 5 分，身上有點滴持續灌注、鼻胃管、及氣切管並連接呼吸器使用中，王先生意識不清，會不自主的將管路拔除，下列處置何者正確？",{"A":15,"B":16,"C":17,"D":18},"告訴王先生再拔掉管路就要予以雙手約束","只要有醫囑不需有家屬的同意書就能進行約束","可將王先生的雙手均約束在床欄上避免拔管","約束時應每二小時鬆開一次並改變王先生姿勢","D",null,[],"本題考點在意識不清、頻拔管病人的身體約束倫理與安全原則。依約束護理規範,D「約束時應每二小時鬆開一次並改變姿勢」正確,可促進循環、觀察皮膚並維護關節活動。A以言語威脅違反病人尊嚴與治療性溝通;B約束除醫囑外仍須告知並取得家屬同意書,非僅憑醫囑即可;C不可將約束帶綁在活動床欄上,床欄升降會拉扯致傷,應固定於床架且打活結。故選D。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"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？",106,{"webId":29,"stem":30,"number":31,"year":27,"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":33,"stem":34,"number":35,"year":27,"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":37,"stem":38,"number":39,"year":27,"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":41,"stem":42,"number":43,"year":27,"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":45,"stem":46,"number":47,"year":27,"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？",6,1783840740104]