[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-037":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-037","nurse-109-2-fundamental-nursing-037",109,2,37,"蘇太太中風、肢體偏癱住院，家屬認為病人乃因天冷保暖不足才會中風，因此給予其穿四件衣服、戴毛帽，現病人冒汗，身上有異味，護理師欲協助減少衣物，但家屬拒絕，下列護理措施何者最為合適？",{"A":15,"B":16,"C":17,"D":18},"告訴家屬對中風的理解有誤，強制給予減少病人身上衣物","給予病人使用爽身粉，吸附汗液促進皮膚乾燥","給予電扇調整室內溫度，以促進汗液蒸發","以乾毛巾擦拭病人身體，內層衣物如果潮濕就應更換","D",null,[],"本題考點為兼顧病人清潔舒適與家屬文化信念的護理處置。中風偏癱病人穿著過多而冒汗、有異味，家屬因保暖信念拒絕減衣，最合適的是不與家屬正面衝突、又能維持皮膚清潔的做法：以乾毛巾擦拭身體、內層衣物潮濕即更換，選D。選項A強制減衣違背尊重家屬與溝通原則；選項B爽身粉遇汗結塊、堵塞毛孔且吸入有疑慮，非首選；選項C以電扇直吹中風病人易致寒顫與不適，且未解決汗濕衣物問題。核心在維持乾爽清潔且尊重家屬的兩全處置。",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？",6,1783840754432]