[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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,"explanationDeep":23,"topics":24,"freq":27},"nurse-115-1-基本護理學與護理行政-031","nurse-115-1-fundamental-nursing-031",115,1,31,"協助病人移位時，為能省時省力及避免護理人員受到傷害，下列何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"搬運病人時，雙腳分開站立、髖部與膝關節微彎","移動病人時，護理人員應面對將移動的部位","儘量不要使用腰背部肌肉施力","身體重心應遠離病人，以防跌倒","D",null,[],"本題考點是身體力學原則在移位技術上的應用，屬於「找最不適當」題型。依身體力學原理，施力者與物體重心愈接近，力臂愈短、所需施力愈小且脊椎受力愈低；若如 D 所述把身體重心遠離病人，反而拉長力臂、增加腰椎負荷並使自身平衡變差，故 D 最不適當、為本題答案。A 適當，雙腳分開可擴大支撐底面積，髖膝微彎能降低重心並改以大肌群發力。B 適當，面對移動方向可避免脊椎扭轉，扭轉是椎間盤受傷的主要機轉。C 適當，腰背部肌群屬小肌群且力臂不利，應改用大腿與臀部等大肌群施力以分散負荷。","身體力學三要素為支撐底面積、重心高度與重力線位置：底面積愈大、重心愈低、重力線愈落在底面積中央，穩定度愈高。腰椎第四、五節是搬運傷害的好發處，脊椎前彎合併扭轉時椎間盤壓力最大，這正是「面對移動方向、勿扭腰」的力學依據。口訣「寬底面、低重心、近身體、用大腿、勿扭轉」。可延伸連結省力原則中的槓桿與摩擦力應用，例如使用滑墊或床單捲動以摩擦力最小化取代抬舉，以及職業安全上的人力搬運上限與輔具介入。",[25,28,30,32,34],{"term":26,"count":27},"移位技術",2,{"term":29,"count":11},"身體力學原則",{"term":31,"count":11},"支撐底面積",{"term":33,"count":11},"重心與力臂",{"term":35,"count":11},"職業傷害預防",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-1-fundamental-nursing-032","面臨末期病人即將離世，有關家屬哀傷支持之敘述，下列何者最適當？",32,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-106-1-fundamental-nursing-028","醫囑「500 mL Half Saline 以一般輸液套管靜脈滴注（每毫升 20 gtt），且須在 4 小時內輸注完畢」，下列何者為最適當的滴注速度？",28,106,{"webId":47,"stem":48,"number":49,"year":45,"session":27},"nurse-106-2-fundamental-nursing-042","發燒初期（onset），病人出現的症狀，下列何者正確？①呼吸速率加快 ②呼吸速率不變 ③呼吸速率變慢 ④皮膚較蒼白 ⑤皮膚顏色不變 ⑥皮膚發紅",42,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-fundamental-nursing-080","針對醫院評鑑的敘述，下列何者正確？",80,107,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-1-fundamental-nursing-044","王先生中風後，有吞嚥困難，現協助其由口進食，下列措施何者不適當？",44,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-1-fundamental-nursing-078","某病房最近發生集體院內感染，護理部主任經與督導個別討論後，主任決定要求護理長提出改善方案，此決策模式屬於下列何種決策？",78,110,"2026-08-06",1787299088304]