[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-2-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-113-2-基本護理學與護理行政-024","nurse-113-2-fundamental-nursing-024",113,2,24,"長期服用毛地黃的病人，胸悶覺得全身無力到急診求治，護理師進行心跳評估，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"協助病人平躺休息 15 分鐘之後再測量","手掌溫熱聽診器後使用鐘面進行評估","將聽診器置於左鎖骨中線和第五肋間交會處","評估完整 1 分鐘需要注意心率的規則與強度","B",null,[],"本題考點在於心尖脈（心音）聽診的正確技巧,屬反向題（問「何者錯誤」）。A 平躺休息 15 分鐘後測量可排除活動影響（對）、C 聽診器置於左鎖骨中線與第五肋間交會處即心尖搏動處（對）、D 心律不規則者須評估完整 1 分鐘並注意規則性與強度（對）。錯誤敘述為 B,聽診心音應使用聽診器的「膜面」（diaphragm）聽取較高頻的正常心音（S1、S2），而非「鐘面」（bell，用於聽低頻雜音如 S3、S4），故選 B。",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？",6,1783840777275]