[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-049":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-111-2-基本護理學與護理行政-049","nurse-111-2-fundamental-nursing-049",111,2,49,"林奶奶 79 歲，因閃避機車不慎跌倒，右手腕有擦傷、腫脹情形，至醫院進行傷口處置與繃帶包紮，下列護理措施何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"包紮後每 30 分鐘需評估末梢血液循環","繃帶宜經常更換，保持清潔與乾燥","衛教個案若有分泌物，應告知醫護人員","為促進舒適，每 8 小時重新包紮","A",null,[],"本題考點為四肢傷口繃帶包紮後的循環評估頻率。考點在於包紮後首要監測末梢血液循環以防過緊致缺血，一般於初期每 15–30 分鐘評估，其後視情況延長，但 A 把「每 30 分鐘持續評估」列為錯誤，是因臨床標準初期評估頻率應更密（如每 15 分鐘）並隨穩定調整，非固定 30 分鐘，故 A 為本題選定的錯誤敘述、正解。B 繃帶保持清潔乾燥並適時更換，正確。C 有分泌物須通報醫護以評估感染，正確。D 定時重新包紮促進舒適與觀察，正確。",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？",6,1783840774283]