[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-009":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-111-1-基本護理學與護理行政-009","nurse-111-1-fundamental-nursing-009",111,1,9,"護理人員執行治療後於紀錄中寫下：「10：00 協助病人翻身，發現腳跟破皮傷口，給予傷口換藥」，此護理紀錄未遵守下列何項原則？",{"A":15,"B":16,"C":17,"D":18},"準確性","扼要性","時效性","組織性","A",null,[],"本題考點在於護理紀錄的書寫原則。紀錄「腳跟破皮傷口」僅描述部位與現象,卻未載明傷口的確切大小、深度、顏色、分泌物等可量化客觀資料,缺乏具體精確的描述,違反「準確性（accuracy）」原則,故A為本題答案。時效性（C）指即時記錄,此處有標明10:00尚符合;扼要性（B）指簡明,本紀錄並不冗長;組織性（D）指依邏輯順序記載,此處敘述順序合理。最欠缺者為準確、具體的傷口描述。",[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？",6,1783840773241]