[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-3-fundamental-nursing-034":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-112-3-基本護理學與護理行政-034","nurse-112-3-fundamental-nursing-034",112,3,34,"大腸直腸癌末期合併多處轉移病人，呈現意識時而嗜睡，時而清醒，臨床評估下列那些是瀕死症狀？ ①訴說看到過世的親友 ②譫妄躁動 ③出現深且快的呼吸型態 ④畢歐氏呼吸（Biot’s respiration） ⑤全身皮膚乾燥",{"A":15,"B":16,"C":17,"D":18},"①②","②③","③④","④⑤","A",null,[],"本題考點在於瀕死（臨終）症狀的辨識。依臨終生理變化，此意識時清時睡的末期病人出現①訴說看到已過世親友（臨終覺知、意識改變）與②譫妄躁動（末期躁動）皆屬典型瀕死症狀，故選 A（①②）。③「深且快的呼吸型態」較符合代謝性酸中毒的庫斯莫氏呼吸，非臨終特有；④畢歐氏呼吸（Biot's respiration）雖見於腦部病變，但臨終最典型的是漸強漸弱交替的陳施氏呼吸（Cheyne-Stokes），畢歐氏並非題示情境首選；⑤瀕死末梢循環變差常見皮膚濕冷、發紺而非全身乾燥。故含③④⑤者皆不符。",1,[25,29,33,36,40,44],{"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":32,"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？",2,{"webId":34,"stem":35,"number":11,"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？",{"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？",6,1783840776520]