[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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":11},"nurse-115-2-基本護理學與護理行政-031","nurse-115-2-fundamental-nursing-031",115,2,31,"病人有留置鼻胃管，因感染 B 型流行感冒住院，有關此病人鼻胃管護理之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"以棉棒沾酒精清潔鼻腔內的分泌物","更換膠布，鼻胃管勿轉動，並以膠布固定於原處","鼻胃管護理的棉枝，使用後應丟入感染性垃圾桶","於病人流感急性期，暫不執行鼻胃管的護理","C",null,[],"本題考點是感染性廢棄物分類與鼻胃管日常護理的正確做法。病人感染 B 型流行性感冒,鼻腔分泌物具傳染性,清潔鼻腔後的棉枝已沾染呼吸道分泌物,依感染性廢棄物處理原則應丟入感染性垃圾桶,故 C 正確。A 錯在酒精會刺激並使鼻黏膜乾燥,鼻腔清潔應以生理食鹽水或溫水沾濕棉枝進行。B 錯在更換膠布時應輕輕轉動管子並改變固定位置,避免長期同一點壓迫造成鼻黏膜與鼻翼的壓力性損傷。D 錯在流感急性期分泌物增加,鼻腔與管路護理更需照常執行,不因急性期而暫停,故選 C。","廢棄物分類的判準只有一個:是否沾染血液或體液。沾到分泌物的棉枝、紗布、手套屬感染性廢棄物入紅色容器;針頭與玻璃安瓶等尖銳物入不可穿透的收集盒;未污染的包裝紙盒才走一般垃圾。鼻胃管固定要每日更換膠布並輕微轉動與改變貼附位置,原理與壓力性損傷相同:同一部位持續受壓超過微血管關閉壓,黏膜就會缺血壞死,鼻翼與鼻孔內側最易出現。鼻腔用酒精的問題在於酒精是脂溶劑,會破壞黏膜的黏液層並使纖毛擺動功能受損,反而降低上呼吸道的防禦能力。可延伸連結鼻胃管護理的其他要點:位置確認方式、口腔照護頻率與灌食前反抽殘餘量的意義。",[25,27,30,32,34],{"term":26,"count":11},"感染性廢棄物分類",{"term":28,"count":29},"鼻胃管護理",1,{"term":31,"count":29},"鼻黏膜壓力性損傷",{"term":33,"count":29},"飛沫傳染防護",{"term":35,"count":29},"鼻腔清潔原則",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-2-fundamental-nursing-032","醫囑「Morphine 40 mg I.V. drip p.r.n. for pain」，護理師在確認醫囑時，下列何者必須先向開立醫囑醫師澄清？",32,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-106-1-fundamental-nursing-078","加護病房護理長發現該單位的血液管路感染率超過院方規定之閾值。「血液管路感染率」是屬於 Donabedian 的那一個醫療品質指標的構面？",78,106,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-107-1-fundamental-nursing-012","陳先生 75 歲診斷心肌梗塞，家屬說他「青菜都不吃，也很少喝水」，護理師觀察到陳先生喜歡吃肉和甜食，BP:160\u002F90 mmHg，HR:80 次\u002F分，血糖檢查 AC:325 mg\u002FdL。上述何者為主觀資料？",12,107,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-108-1-fundamental-nursing-050","吳女士，35 歲，卵巢癌末期，處於瀕死階段，病人意識清楚時曾簽署「預立安寧緩和醫療暨維生醫療抉擇意願書」，離婚後單親撫養一位 5 歲的兒子，病人為虔誠的基督徒，病人大姊為佛教徒，趕到醫院時情緒崩潰，要求醫師想辦法讓病人活下去，護理人員於臨終照護中的角色與功能，下列敘述何者正確？",50,108,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-2-fundamental-nursing-014","有關病歷的注意事項及保存之敘述，下列何者正確？",14,109,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-110-2-fundamental-nursing-048","王老太太，85 歲，尾薦骨處出現 5×6×1 公分的壓傷，導致壓傷的可能原因下列何者錯誤？",48,110,"2026-08-06",1787299031776]