[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-034":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-108-1-基本護理學與護理行政-034","nurse-108-1-fundamental-nursing-034",108,1,34,"病人因下腹劇痛數日且盜冷汗入院，主訴已有一週未解便，下列護理師的措施何者較不適當？",{"A":15,"B":16,"C":17,"D":18},"評估病人過去排便型態","執行腹部視聽叩及輕觸診","詢問目前是否使用止痛藥","立即給予肥皂水清潔灌腸","D",null,[],"本題考點是急性腹痛合併疑似腸阻塞時的護理禁忌。判斷依據是「病因未明、疑有腸阻塞前不可灌腸」:病人下腹劇痛、盜冷汗且一週未解便,高度懷疑腸阻塞或急性腹症,此時若灌腸會增加腸腔壓力、可能造成腸穿孔或加重病情,故D立即給予肥皂水清潔灌腸最不適當,選D。A評估過去排便型態是收集基本資料、判斷問題來源,適當;B執行腹部視、聽、叩、觸診依序評估腸蠕動音與壓痛,是正確評估順序;C詢問止痛藥使用可了解疼痛與藥物影響(如鴉片類致便秘),亦屬合理評估。三個正確選項都屬「先評估後處置」,唯D在病因未明下貿然侵入性處置,違反安全原則。",[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？",6,1783840743911]