[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-055":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-055","nurse-107-1-fundamental-nursing-055",107,1,55,"趙先生 72 歲，診斷 COPD，此次因呼吸困難入院，監測血氧飽和度 88%，護理師為病人進行初次評估時，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"先收集完整性的健康史，再決定處理病人健康問題的優先次序","先執行完整性身體檢查與評估，了解呼吸困難對其全身所造成的影響","先處理呼吸困難的相關問題，等情況穩定再執行完整性身體檢查與評估","先執行完整性身體檢查與評估，再詢問家屬有關這次發生呼吸困難之相關訊息","C",null,[],"本題考點是評估與處置的優先次序判斷。依危及生命問題優先（ABC 原則）的照護邏輯，趙先生 COPD 併呼吸困難、血氧飽和度僅 88%，屬急性缺氧、危及生命的狀況，護理師應先介入處理呼吸困難、待情況穩定後再進行完整身體檢查與評估，故 C 最適當。A 錯在先收集完整健康史：病情危急時不能先做費時的資料收集。B 與 D 都主張先執行完整性身體檢查與評估，等於把耗時的全面評估排在緊急處置之前，會延誤氧合改善的時機；D 又把詢問家屬置於處置前，更顯本末倒置。緊急下應『先穩定生命徵象、再全面評估』。",[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？",6,1783840740155]