[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-026":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-026","nurse-113-3-fundamental-nursing-026",113,3,26,"根據下列四位住院病人生命徵象測量的結果，何者最為緊急需優先處理？",{"A":15,"B":16,"C":17,"D":18},"22 歲男性，急性闌尾炎，預計接受闌尾切除術，體溫 37.8℃，脈搏 80 次／分，呼吸 20 次／分，血壓 140\u002F80 mmHg","40 歲女性，流行性感冒合併肺炎，主訴呼吸喘，體溫 38.5℃，脈搏 90 次／分，呼吸 30 次／分，血壓 120\u002F76 mmHg","55 歲女性，昨天右側乳房切除，主訴傷口疼痛，體溫 37.5℃，脈搏 82 次／分，呼吸 22 次／分，血壓 146\u002F86 mmHg","88 歲男性，蜂窩性組織炎，目前抗生素使用，體溫 38.2℃，脈搏 96 次／分，呼吸 20 次／分，血壓 130\u002F96 mmHg","B",null,[],"本題考點在於依生命徵象判斷病情緊急程度、決定處理優先順序。依 ABC（呼吸道、呼吸、循環）與生命徵象異常幅度評估，選項 B 女性肺炎合併主訴呼吸喘、呼吸速率 30 次\u002F分（成人正常 12～20），已屬明顯呼吸窘迫，可能進展為呼吸衰竭與缺氧，威脅氣道與呼吸最為立即，故優先，選 B。A 闌尾炎生命徵象大致穩定，屬計畫性手術。C 乳房術後疼痛、血壓略高但無立即危險。D 蜂窩性組織炎已在使用抗生素、生命徵象輕度異常但穩定。依「呼吸問題優先於其他」原則，B 需最先處理。",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？",6,1783840777722]