[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-010":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-109-2-基本護理學與護理行政-010","nurse-109-2-fundamental-nursing-010",109,2,10,"孫先生昨天開始解尿不順、尿道灼熱感，臉色發紅、皮膚溫暖乾燥，生命徵象：血壓 126 \u002F 76 mmHg、體溫 39.2°C（耳溫）、脈搏 116 次／分、呼吸 26 次／分，孫先生出現發燒現象，下列護理措施何者不適當？",{"A":15,"B":16,"C":17,"D":18},"指導病人減少外在覆蓋物","提供液體以補充無感水分散失","指導多下床活動","協助進行尿液檢驗代號： 2106 頁次： 6－2","C",null,[],"本題考點為發燒病人的護理措施合宜性。依發燒期能量代謝增加、需臥床休息的原則,「指導多下床活動」會增加耗氧與代謝負荷、不利退燒,故 C 不適當,選 C。A 適當,減少覆蓋物有助散熱降溫。B 適當,體溫每升高會增加無感水分散失,補充液體可防脫水。D 適當,病人解尿灼熱且高燒,協助尿液檢驗有助釐清泌尿道感染。此病人耳溫 39.2℃、脈搏 116、呼吸 26,呈典型發燒代償反應。考點在於辨識發燒期應以休息與散熱為主,而非增加活動。",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？",6,1783840754214]