[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-006":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-113-3-基本護理學與護理行政-006","nurse-113-3-fundamental-nursing-006",113,3,6,"病人由家屬送入急診，護理師觀察到病人出現呼吸喘、冒冷汗的狀況，家屬描述「昨天就開始喘了」。 BP：158\u002F92 mmHg、HR：102 次／分、R：26 次／分、SpO 2 ：89%，上述何者為主觀資料？",{"A":15,"B":16,"C":17,"D":18},"病人出現呼吸喘、冒冷汗","家屬描述「昨天就開始喘了」","SpO 2 ：89%","無主觀資料","B",null,[],"本題考點在於護理評估資料的分類：主觀資料與客觀資料的辨識。主觀資料是病人或家屬「陳述、感受」而護理師無法直接測量觀察者；客觀資料則是可觀察、可測量的徵象與數據。選項 B「家屬描述『昨天就開始喘了』」屬他人口述的病史陳述，無法由護理師直接量測，屬主觀資料，選 B。選項 A「病人出現呼吸喘、冒冷汗」是護理師直接觀察到的表徵，屬客觀資料；選項 C「SpO₂：89%」為儀器測量的數值，屬客觀資料；題幹同時列有血壓、心跳、呼吸速率等測量值，皆屬客觀。因確有一項為主觀資料，故 D「無主觀資料」不成立。辨識關鍵在於「來自陳述」對比「可觀測量」。",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":12,"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？",1783840777527]