[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-042":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-107-2-基本護理學與護理行政-042","nurse-107-2-fundamental-nursing-042",107,2,42,"承上題，針對李太太壓瘡的護理措施，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"至少每兩小時改變姿勢","移動個案時，以抬高個案方式移動","可使用肥皂清潔皮膚，保持乾燥","可利用氣墊床減輕壓力","C",null,[],"本題考點在壓瘡照護措施的正確原則。依皮膚屏障保護原理，鹼性肥皂會洗去皮脂、破壞角質層並使皮膚乾裂，反而降低皮膚耐受度，故 C「用肥皂清潔皮膚」為錯誤敘述，應改用中性或弱酸性清潔品並保濕，選 C。A 至少每兩小時翻身，依減壓原理讓同一部位壓力間歇釋放，正確。B 移動時以抬高方式取代拖拉，可避免剪力與摩擦力造成表皮損傷，正確。D 使用氣墊床藉交替充氣分散並降低骨突處介面壓力，正確。三者皆符合壓瘡預防原則，唯 C 違反皮膚保護概念，是本題要挑出的錯誤措施。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"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？",106,{"webId":30,"stem":31,"number":11,"year":28,"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":33,"stem":34,"number":35,"year":28,"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":37,"stem":38,"number":39,"year":28,"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":41,"stem":42,"number":43,"year":28,"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":45,"stem":46,"number":47,"year":28,"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？",6,1783840750289]