[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-028":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-110-1-基本護理學與護理行政-028","nurse-110-1-fundamental-nursing-028",110,1,28,"有關成人輸血護理之敘述，下列何者不適當？",{"A":15,"B":16,"C":17,"D":18},"輸血前核對病人血型\u002FRh 因子","協助放置 20G 的靜脈留置針","開始輸血前 15 分鐘流速 25gtt\u002Fmin","病人主訴呼吸困難且不適時，調慢流速","D",null,[],"本題考點是成人輸血的安全護理。依輸血安全規範，輸血中若病人主訴呼吸困難與不適，可能是溶血、過敏或循環負荷過重的警訊，正確處置是立即停止輸血、改打生理食鹽水維持管路並通報，而非只調慢流速，故 D 不適當、為本題答案。A 輸血前雙人核對病人血型與 Rh 因子，是防止溶血的關鍵，敘述適當；B 選用 20G 以上口徑留置針以確保流速並減少紅血球破壞，敘述適當；C 開始前 15 分鐘採每分鐘約 25 滴慢速並密切觀察，以早期發現反應，敘述適當。考點在辨識輸血反應時「先停血」的原則。",[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？",6,1783840761564]