[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-038":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-109-1-基本護理學與護理行政-038","nurse-109-1-fundamental-nursing-038",109,1,38,"根據下列四位住院病人之生命徵象測量結果，何者應最優先處理？",{"A":15,"B":16,"C":17,"D":18},"80 歲女性，肺炎，RR 27 次\u002F分，SpO 2 80%","50 歲男性，小腿骨折，BP 160\u002F80 mmHg、PR 80 次\u002F分","60 歲男性，糖尿病足合併蜂窩組織炎，BT 38.2℃、PR 96 次\u002F分","75 歲女性，3 天前右側乳房切除，BP 146\u002F86 mmHg、RR 22 次\u002F分","A",null,[],"本題考點為依ABC（氣道、呼吸、循環）原則與生命徵象異常程度排序照護優先順序。A之80歲肺炎病人呼吸27次\u002F分、血氧飽和度僅80%，遠低於正常的95%以上，屬急性缺氧、危及生命的呼吸窘迫，依ABC原則呼吸問題最優先，故選A。B小腿骨折血壓160\u002F80雖偏高但生命徵象穩定。C糖尿病足合併蜂窩組織炎發燒38.2度屬感染但非立即致命。D乳房切除術後第三天血壓、呼吸僅輕度偏高，皆非最緊急。故A應最優先處理。",[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？",6,1783840746838]