[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-114-3-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-114-3-基本護理學與護理行政-026","nurse-114-3-fundamental-nursing-026",114,3,26,"測量呼吸時注意事項，下列何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"測量前要先告訴病人，增加其準備度","測量前評估病人是否剛進食或運動","觀察病人是否使用呼吸輔助肌","測量時應評估病人面部表情和膚色代號： 2101 頁次： 4－3","A",null,[],"本題考點在於測量呼吸速率的正確技巧，屬反向題，須找出最不適當者。呼吸是唯一同時受自主與隨意控制的生命徵象，測量前若事先告知病人，會使其刻意調整呼吸而失真，故臨床上通常在測完脈搏後、手仍按在病人手腕上，於其不察覺時觀察呼吸，因此錯誤（最不適當）敘述為 A。B 測量前評估病人是否剛進食或運動，因其會暫時影響呼吸速率，屬正確考量。C 觀察是否使用呼吸輔助肌可判斷呼吸費力程度，正確。D 評估面部表情與膚色（如發紺）能反映氧合狀態，正確。逐項比對後，唯 A 的『事先告知以增加準備度』違反呼吸測量不宜提醒的原則，故為答案。",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？",6,1783840779267]