[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-024":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-112-2-基本護理學與護理行政-024","nurse-112-2-fundamental-nursing-024",112,2,24,"張女士因肺癌，術後醫囑開立 FFP 2U St.，在輸注過程中，出現頭暈、呼吸困難、血壓下降，下列之立即處置何者最適當？",{"A":15,"B":16,"C":17,"D":18},"此現象為正常的反應，持續輸血","調慢輸血滴速，立刻跑回護理站通知護理長","調慢輸血滴速，馬上給予利尿劑及氧氣","立刻停止輸血，並使用 0.9% N\u002FS 維持靜脈輸液管路通暢代號： 2102 頁次： 8－4","D",null,[],"本題考點是輸血反應中的循環負荷過量與過敏／溶血反應之緊急處置原則。依輸血安全準則,一旦出現頭暈、呼吸困難、血壓下降等異常徵象,首要動作是「立刻停止輸血」以中斷可能的致病原,並更換為 0.9% 生理食鹽水維持靜脈管路通暢,以便後續給藥與保留檢體,故選 D。A 錯,這些症狀絕非正常反應,持續輸血會加重危害。B 錯,調慢滴速並未中斷致病血品,且「跑回護理站」延誤處置。C 錯,先給利尿劑及氧氣而未停止輸血,順序顛倒,應先停血再處理。生理食鹽水與血品不會產生凝集反應,是唯一可與輸血共用的溶液。",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？",6,1783840775669]