[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-009":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-009","nurse-113-3-fundamental-nursing-009",113,3,9,"以數字等級量表評估一位意識清楚病人的疼痛。病人表示腹痛及頭痛，關於疼痛評估與紀錄，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"應記錄腹痛及頭痛疼痛分數之平均值","「極度疼痛」為 0 分；「不痛」為 10 分","請病人說出當下疼痛感受所代表分數等級","病人皺眉雙手按住傷口，此為疼痛主觀資料","C",null,[],"本題考點在於數字等級量表（NRS）疼痛評估的正確原則。疼痛屬主觀感受，評估應以病人自述為準，請意識清楚的病人自行說出當下疼痛對應的分數等級，最能反映真實痛感，選項 C 正確。其餘皆錯誤：多部位疼痛不應以平均值記錄（A），腹痛與頭痛應分別記錄各自分數，平均會掩蓋單一部位的嚴重度；NRS 的分數方向為「0 分＝不痛、10 分＝最痛（極度疼痛）」，選項 B 將 0 與 10 的意義顛倒，屬錯誤；病人皺眉、雙手按住傷口是護理師觀察到的行為表現，屬疼痛的客觀（行為）資料，而非主觀資料（D）。核心在於疼痛以自述為金標準與量表刻度方向正確。",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？",6,1783840777553]