[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-024":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-024","nurse-111-1-fundamental-nursing-024",111,1,24,"李先生體重 60 公斤，輸血醫囑「Blood transfusion PRBC（packed RBC）2 units」，輸血開始 15 分鐘後，出現頭痛、寒顫、發燒、呼吸困難、低血壓等症狀，此時護理師在通知醫師之前，最優先的處理為何？",{"A":15,"B":16,"C":17,"D":18},"立即停止輸血，以生理鹽水維持靜脈通暢","調慢滴速，測量生命徵象","抽血做血液培養","調高病人床頭，給予氧氣","A",null,[],"本題考點為輸血反應的緊急處置優先順序。輸血開始 15 分鐘內出現寒顫、發燒、呼吸困難、低血壓,屬急性溶血性或嚴重過敏性輸血反應,持續輸入的血品是致命來源,故最優先須立即停止輸血,並改用生理鹽水維持靜脈通暢(避免管路阻塞、保留給藥途徑),選 A。B 錯在只調慢滴速仍讓不相容血液持續進入體內,無法移除致命源。C 抽血做血液培養是後續釐清原因的檢查,不是第一步。D 給氧與擺位屬支持性處置,在停止輸血之後才進行。輸血只能用生理鹽水沖洗管路,不可用含葡萄糖或含鈣溶液以免溶血或凝集。",[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？",6,1783840773382]