[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-033":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-033","nurse-115-1-fundamental-nursing-033",115,1,33,"病人因上呼吸道傳染性疾病住院，出院後其病室之終期消毒方式，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"以0.5%的來舒（lysol）擦拭病房物品表面","沾有分泌物的地板以0.01%的漂白水清洗","床褥及枕頭送洗前以紫外線燈照射60分鐘","病室及用物清理前應以紫外線燈照射15分鐘","C",null,[],"本題考點是傳染病病室終期消毒的方法與濃度判讀。依消毒原則，不耐濕熱且不便浸泡的床褥與枕頭，送洗前可先以紫外線燈近距離照射約 60 分鐘作表面消毒，屬合理處置，故選 C。A 錯在來舒（酚類消毒劑）擦拭環境表面的常用濃度為 3% 左右，0.5% 濃度過低、達不到殺菌效果。B 錯在沾有分泌物的地板應以 0.5%（約 5000 ppm）漂白水處理，0.01% 濃度相差數十倍，無法有效去除病原。D 錯在紫外線僅能作用於直接照射到的表面，遇灰塵與有機物即被阻擋，必須先清潔再照射，且照射時間也不足；順序顛倒是本題主要陷阱。","紫外線殺菌波長為 254 奈米，靠破壞微生物 DNA 形成嘧啶雙合體使其無法複製，特性是穿透力極差、只殺得到光照得到的表面，因此「先清潔去除有機物、再照射」是不可調換的順序；照射時人員應迴避以免角膜炎與皮膚灼傷。漂白水濃度記法：一般環境 0.05%（500 ppm）、血液或體液污染 0.5%（5000 ppm），現泡現用因次氯酸鈉遇光遇熱會分解。可延伸連結 Spaulding 分類（高危險性器材滅菌、半危險性高層次消毒、低危險性中低層次消毒）判斷消毒層級。",[25,28,30,32,34],{"term":26,"count":27},"終期消毒",5,{"term":29,"count":11},"紫外線消毒原理",{"term":31,"count":11},"漂白水濃度",{"term":33,"count":11},"酚類消毒劑",{"term":35,"count":11},"清潔先於消毒",[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-1-fundamental-nursing-034","食道癌末期病人，僅能進食少量液體食物，不願意採用鼻胃管灌食或者腸道外營養治療，兒子認為這樣下去病人會因飢餓死亡，心理無法接受，期待以更積極方式協助進食，下列措施何者最適當？",34,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-106-1-fundamental-nursing-030","林女士已 6 小時未解尿，主訴下腹部很脹，護理師可採取下列那些方法誘導林女士小便？①逆時鐘輕揉膀胱 ②聽流水聲 ③會陰沖洗 ④溫水坐浴",30,106,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-106-2-fundamental-nursing-044","有關影響血壓的因素，下列何者錯誤？",44,2,{"webId":52,"stem":53,"number":50,"year":54,"session":11},"nurse-108-1-fundamental-nursing-002","承上題，林小姐呼吸喘、咳嗽加劇，經胸腔 X 光顯示右下葉肺炎及肋膜積水，施行胸腔放液穿刺術合併胸管留置，當您協助更換病人胸管傷口敷料時，下列措施何者正確？",108,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-1-fundamental-nursing-046","下列何項檢驗可作為選擇抗生素使用種類的依據？",46,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-1-fundamental-nursing-080","有關平衡計分卡的敘述，下列何者錯誤？",80,110,"2026-08-06",1787299088336]