[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-055":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-112-1-基本護理學與護理行政-055","nurse-112-1-fundamental-nursing-055",112,1,55,"吳爺爺，肺癌合併腦、骨頭多處轉移，骨轉移疼痛目前有 Morphine 10 mg S.C. q4h+p.r.n.使用，臨終階段出現譫妄、躁動不安之情形，案妻詢問醫療人員：「看他這樣很捨不得，可以用點藥讓他休息一下嗎？」醫療人員如何回應較為適宜？",{"A":15,"B":16,"C":17,"D":18},"增加嗎啡用藥或鎮靜劑可能加速病人死亡，不符合倫理","這是臨終可能會有的正常反應，不需要特別處理","若是用藥後緩解了躁動不安但病人也有可能在過程中離世，此有醫師協助自殺之虞","與家人共同討論照護目標，解釋用藥可能產生的效應，再做決定","D",null,[],"本題考點在於臨終病人出現譫妄躁動、家屬要求用藥時的倫理與溝通原則。依安寧療護與雙重效應原則，處理難以緩解的臨終不適可使用鎮靜藥物，其正當做法是與家屬「共同討論照護目標、說明用藥可能效應後再共同決定」，兼顧病人舒適與知情，故正解 D。A 錯誤，適當劑量的嗎啡或鎮靜劑以緩解症狀為目的，符合倫理，不宜片面拒絕；B 錯誤，躁動不安是需評估與處理的痛苦症狀，非可置之不理的「正常反應」；C 錯誤，以緩解症狀為目的、非以致死為目的之姑息鎮靜，不等同協助自殺，此說法混淆倫理界線。唯 D 落實共享決策。",[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？",6,1783840775110]