[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-053":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-053","nurse-111-1-fundamental-nursing-053",111,1,53,"王先生因氣喘發作而急診入院，剛轉入病房，可聽見呼吸喘鳴音（wheezing），首要的入院護理措施為何？",{"A":15,"B":16,"C":17,"D":18},"病史詢問","說明痰液檢體收集方法","病室環境介紹","抬高床頭並測量生命徵象","D",null,[],"本題考點在於氣喘急性發作的護理措施優先順序,判斷依據是 ABC(呼吸道、呼吸、循環)與馬斯洛需求層次中生理需求優先的原則。病人已聽見哮鳴音,代表下呼吸道支氣管痙攣、通氣受阻,此時維持呼吸道通暢與監測生理狀態的重要性凌駕於一切,選 D:抬高床頭採半坐臥可增加胸腔擴張、降低橫膈上抬阻力以改善通氣,測量生命徵象可掌握呼吸速率與血氧變化,兩者皆屬立即性的生理需求。A 病史詢問屬入院資料蒐集,可延後且會加重喘息中病人負擔;B 說明痰液檢體收集是後續診斷步驟,非急性期首要;C 病室環境介紹屬心理社會層次,在生命徵象未穩定前不具優先性。",[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？",6,1783840773636]