[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-016":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-113-1-基本護理學與護理行政-016","nurse-113-1-fundamental-nursing-016",113,1,16,"病人因高燒使用低溫毯，護理師在使用低溫毯期間，下列照護事項何者正確？ ①為達到降溫效益，低溫毯應直接與病人皮膚接觸 ②剛使用時應每5分鐘測量病人的生命徵象，待穩定後則可以每15分鐘監測一次 ③使用過程中若病人出現發抖現象，為正常現象，可持續使用，但需每15分鐘監測體溫一次 ④應每30～60 分鐘協助病人翻身，以免造成壓力性損傷",{"A":15,"B":16,"C":17,"D":18},"①②","③④","①③","②④","D",null,[],"本題考點在於低溫毯（降溫毯）使用期間的正確照護，須逐項判斷組合。正確為②④，故選 D。②剛使用時每 5 分鐘測生命徵象、穩定後改每 15 分鐘，符合密集監測原則；④每 30～60 分鐘協助翻身以防壓力性損傷，因低溫加壓迫易致皮膚受損，正確。①錯在低溫毯不應直接接觸皮膚，須加布單避免凍傷；③錯在使用中若出現發抖表示身體產熱對抗降溫、屬異常，應暫停或處理而非持續使用，發抖會升高代謝與體溫反效果。故僅②④正確。",[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？",6,1783840776798]