[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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":12},"nurse-115-2-基本護理學與護理行政-005","nurse-115-2-fundamental-nursing-005",115,2,5,"護理記錄書寫中主、客觀資料的相關敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"護理人員觀察到的病人行為反應屬於主觀資料","家屬的主訴屬於客觀資料","生命徵象屬於主觀資料","身體評估資料屬於客觀資料","D",null,[],"本題考點是主觀資料與客觀資料的定義界線。客觀資料指他人可觀察、測量或檢驗而得的事實,身體評估的視診、聽診、觸診與敲診所見正屬此類,故 D 正確。A 錯在護理人員觀察到的病人行為反應可被他人重複觀察與描述,屬客觀資料。B 錯在主訴是當事人陳述的感受,家屬代述雖非病人本人所說,仍屬口述的主觀資料,不因由誰說出而改變性質。C 錯在生命徵象是以儀器測量得到的數值,是最典型的客觀資料。判準在於「能否被測量或第三者驗證」,而非資料的來源身分。","護理記錄 SOAP 格式中,S 放主觀陳述、O 放測量與評估所見、A 是護理問題的判斷、P 是照護計畫。書寫要領是主觀資料盡量以原話加引號保留語意,客觀資料要寫具體數值與部位,避免「還好」「稍差」這類評價字眼。疼痛是特例:強度本質為主觀,但以數字或臉譜量表量化後即可成為可追蹤指標,因而常被稱為第五生命徵象。資料性質分辨清楚,才能避免把推論誤寫成事實。",[25,27,29,32],{"term":26,"count":12},"主觀與客觀資料",{"term":28,"count":12},"生命徵象",{"term":30,"count":31},"身體評估",4,{"term":33,"count":34},"SOAP 記錄",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-2-fundamental-nursing-006","成年病人痔瘡術後 1 日，表示傷口處疼痛，護理師依醫囑讓病人溫水坐浴 15 分鐘，但坐浴後病人主訴疼痛並未改善，護理師重新檢視前述的處理過程和未能改善原因，護理師此項行為，屬於何種觀察？",6,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-106-1-fundamental-nursing-052","經過治療後張先生病情穩定，醫師准許出院。下列有關出院護理之敘述，何者錯誤？",52,106,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-106-2-fundamental-nursing-066","有關使命（mission）的敘述，下列何者正確？",66,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-108-1-fundamental-nursing-024","蔡小妹，3 歲，因急性腹瀉兩天而入院，醫囑「5% G\u002FW 80 c.c.\u002Fhr」，若以小兒精密輸液套管滴注，每分鐘滴數為多少？",24,108,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-109-1-fundamental-nursing-068","護理長利用在職教育強化護理同仁之護理技能，依據 Gillies 的護理管理過程理論，護理長這個行為是屬於下列何者？",68,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-2-fundamental-nursing-022","醫囑 Coumadin 1 # p.o. stat & q.d.×3 days then 0.5 # p.o. q.d.，請問第 5 天時 Coumadin 應給予幾顆？",22,110,"2026-08-06",1787299031458]