[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-002":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":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":22},"nurse-110-2-基本護理學與護理行政-002","nurse-110-2-fundamental-nursing-002",110,2,"下列何種情況出現時只需要記錄，不需要報告？",{"A":14,"B":15,"C":16,"D":17},"體溫 37.6℃的病人經衛教後能多喝水","糖尿病病人足部潰瘍在換藥後發現傷口周圍有明顯的泛紅情形","姿位性低血壓的病人在下床時跌倒","躁症病患與其他病人在病室發生口角衝突","A",null,[],"本題考點為護理紀錄與通報（報告）時機的判斷，屬區辨題。考點在於辨識僅需記錄、無須立即報告者，應是病情穩定、屬常規護理處置且無安全或病情變化風險的情況；選項 A 病人體溫 37.6℃、經衛教後能增加水分攝取，屬輕微且已妥適處理的常規事件，故選 A。B 傷口周圍明顯泛紅提示可能感染惡化、C 病人跌倒屬不良事件、D 病室內衝突涉及安全與精神狀態，三者皆須依規定通報並記錄，非僅記錄即可。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":11,"year":27,"session":22},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":36,"stem":37,"number":38,"year":27,"session":22},"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":40,"stem":41,"number":42,"year":27,"session":22},"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":44,"stem":45,"number":46,"year":27,"session":22},"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？",6,1783840764994]