[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-053":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-053","nurse-109-1-fundamental-nursing-053",109,1,53,"羅先生正在接受 D 5 W 靜脈輸注，流速為 180 mL\u002Fhour，羅先生主訴呼吸喘不舒服，護理師發現其頸靜脈怒張，下列措施何項最為優先？",{"A":15,"B":16,"C":17,"D":18},"通知醫師並報告輸注流速","協助羅先生採取半坐臥式","關閉管夾並移除靜脈輸注管路","調慢點滴流速保持靜脈通暢","D",null,[],"本題考點為靜脈點滴所致循環負荷過量的優先處置。180 mL\u002Fhr流速偏快，病人喘且頸靜脈怒張，顯示循環過量、心臟前負荷過重，護理首要是立即減少繼續進入的液體量，故調慢點滴流速（而非完全移除，以保留靜脈通路備用給藥）為最優先，選D。C直接移除管路會失去給藥途徑且非必要。B半坐臥可減少靜脈回流、緩解呼吸，屬後續措施。A通知醫師雖重要，但應在第一線減慢流速的處置之後。故D最優先。",[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？",6,1783840746967]