[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-039":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-039","nurse-109-2-fundamental-nursing-039",109,2,39,"一位心房纖維震顫病史的病人，其橈動脈 52 次／分鐘、搏動規律，病人無感到頭暈及疲倦，為了確認病人是否出現脈搏短絀的問題，下列何者為最適當之立即性處置？",{"A":15,"B":16,"C":17,"D":18},"重複測量雙側橈動脈","施作 12 導程心電圖","測量心尖脈搏動次數","評估足背動脈脈搏","C",null,[],"本題考點為脈搏短絀（pulse deficit）的評估方法。脈搏短絀指心尖脈與橈動脈脈搏數不一致（心尖大於橈脈），常見於心房纖維顫動，因部分心室收縮太弱無法把血打到橈動脈。要確認是否有脈搏短絀，最適當的立即處置是測量心尖脈搏動次數，與橈脈相比即可得差值，故選C（標準需兩人同時聽診心尖與觸診橈脈各一分鐘）。選項A重複測雙側橈動脈無法反映心尖搏動；選項B十二導程心電圖是診斷心律而非計算脈搏短絀的即時方法；選項D足背動脈評估周邊灌流，與脈搏短絀無關。",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？",6,1783840754455]