[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-2-fundamental-nursing-005":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-114-2-基本護理學與護理行政-005","nurse-114-2-fundamental-nursing-005",114,2,5,"接受安寧緩和療護病人自拔鼻胃管，表示鼻胃管不舒服且想從嘴巴吃東西。依護理過程的特點，下列護理紀錄何者最適當？",{"A":15,"B":16,"C":17,"D":18},"護理問題：不遵從／自拔鼻胃管","護理目標：住院期間維持理想體重","護理計畫：跟病人共同討論可行的方法","護理評值：自拔管路導致營養不足","C",null,[],"本題考點在於護理過程各步驟的正確歸類，並符合安寧緩和以病人意願為中心的精神。依護理過程，計畫（planning）應與病人共同設定可行的照護方向，C「跟病人共同討論可行的方法」正確歸屬護理計畫且尊重自主，故選 C。A 錯誤：「不遵從／自拔鼻胃管」為帶價值批判的措辭，不宜作為安寧病人的護理問題陳述。B 錯誤：安寧階段以舒適與意願為主，「維持理想體重」的目標不符照護目標且方向錯置。D 錯誤：「營養不足」屬評估或診斷資料，將其列為評值內容步驟歸類不當，故均不符。",1,[25,29,32,36,40,43],{"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":12,"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？",{"webId":44,"stem":45,"number":46,"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？",6,1783840778666]