[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-006":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-110-2-基本護理學與護理行政-006","nurse-110-2-fundamental-nursing-006",110,2,6,"游奶奶接受雙側膝關節置換術，術後第一天使用自控式嗎啡疼痛控制器止痛，白班護生王同學照顧游奶奶，9:40 am 尚未備口服藥物，實習指導老師詢問下，王同學表示：「奶奶還在睡覺，剛剛測量的生命徵象 BP 為 122∕64 mmHg、TPR：36.4°C、64 次／分、8 次／分，我想奶奶昨天開刀應該讓她休息一下，我不忍心叫她起床吃藥」，針對上述情境，下列處置何者最適當？",{"A":15,"B":16,"C":17,"D":18},"應讓病人有足夠的休息，以利術後復原","服藥時間已超過應暫停給此次服藥","護生具有關懷之心應給予正向鼓勵","立即再次確認病人生命徵象之正確性","D",null,[],"本題考點在於使用嗎啡自控式止痛（PCA）病人的呼吸監測判讀。考點在於題中呼吸為每分鐘8次，明顯低於成人正常12至20次，而鴉片類藥物會抑制呼吸中樞，護理判斷須先確認測量數據的正確性再處置，故選D立即再次確認生命徵象之正確性。A讓病人休息忽略了呼吸過慢的警訊，處置不當。B以超時為由暫停給藥，同樣忽略呼吸抑制的評估，不當。C僅給予護生正向鼓勵，延誤了對異常呼吸的判讀，故皆非最適當。",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":12,"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？",1783840765037]