[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-035":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-035","nurse-110-2-fundamental-nursing-035",110,2,35,"病人右手臂正在進行靜脈輸液，護理人員發現其點滴流速不順暢、沒有回血、注射部位水腫且冰冷，下列處置何者最適當？",{"A":15,"B":16,"C":17,"D":18},"調整右手臂的位置並調高點滴架","右手臂注射部位進行熱敷","調整血管中靜脈留置針的長度","停止輸注並移除靜脈留置針","D",null,[],"本題考點在靜脈注射滲漏(infiltration)的辨識與處置。點滴流速不順、回抽無回血、注射部位水腫且冰冷，屬非發炎性液體滲入皮下組織的浸潤徵象；局部冰冷代表非藥液外滲併發炎(靜脈炎會紅熱)。考點在於一旦確認滲漏，應停止輸注並移除留置針以免組織持續腫脹受損，選 D。調整手臂位置與點滴架高度(A)無法解決針頭已滑出血管的問題；熱敷(B)是移除後視情況的後續處理，非首要；靜脈留置針長度無法在血管內任意調整(C)為不合理操作，故均不當。",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":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？",6,1783840765298]