[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-053":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-053","nurse-107-2-fundamental-nursing-053",107,2,53,"劉奶奶，75 歲，肝硬化末期，腹水、雙下肢水腫 3＋，病情惡化處於臨終階段，進食量減少，家屬非常擔心病人會餓死，下列護理處置何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"用海綿牙棒沾茶葉水協助病人口腔護理","鼓勵家屬用言語與肢體表達愛與關心，不勉強病人進食","同理家屬的擔憂，並告知此為正常瀕死症狀","與醫師討論增加點滴輸液量，並抽血監測白蛋白數值","D",null,[],"本題考點在臨終病人進食減少的舒適照護。依安寧緩和原則，瀕死期食慾與進食下降是自然歷程，此時積極補充水分與營養並無法逆轉病程，反而可能加重負擔，故 D「與醫師討論增加點滴補液量並抽血監測白蛋白」最不適當，選 D。劉奶奶已有腹水與雙下肢水腫 3＋，過度補液會加劇體液滯留與呼吸負擔。A 以海綿棒沾茶水做口腔護理可緩解口乾不適，適當。B 鼓勵家屬表達關愛、不勉強進食，尊重自然歷程，適當。C 同理家屬擔憂並說明此為正常瀕死症狀，適當。三者皆重舒適，唯 D 屬過度介入。",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？",6,1783840750407]