[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":27},"nurse-115-2-基本護理學與護理行政-032","nurse-115-2-fundamental-nursing-032",115,2,32,"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？",{"A":15,"B":16,"C":17,"D":18},"藥物名稱","藥物劑量","給藥途徑","給藥時間","D",null,[],"本題考點是完整給藥醫囑必備要素的辨識。一則給藥醫囑至少須包含病人、藥名、劑量、劑型、給藥途徑、給藥時間（頻次或間隔）與醫師簽署；標示 p.r.n. 的需要時給藥，更必須載明給藥間隔與最短可重複時距，否則無從判斷何時能再給下一劑。本則醫囑僅寫 p.r.n. for pain 而缺給藥時間，屬要素缺漏，故 D 為必須先向醫師澄清者，選 D。A 的藥名 Morphine 已明確寫出。C 的途徑 I.V. drip 也已寫明。B 的劑量已載明數值，就「要素是否缺漏」這個提問而言不構成缺項——嗎啡靜脈給藥的常規單次劑量遠低於 40 mg，此數值在用藥安全上自有其核對程序，但不是本題所問的缺漏要素。","醫囑要素可用「人、藥、量、型、途、時、簽」七字檢核，缺任一項都屬需澄清的不完整醫囑。p.r.n. 相關名詞一併釐清：stat 為立即單次給藥，one-time 為指定時間單次給藥，p.r.n. 為需要時給藥（須訂間隔），standing order 為持續有效的常規醫囑。麻醉性止痛劑的複核重點在呼吸抑制風險，觀察項目包含呼吸速率與型態、鎮靜程度、血氧與疼痛評分變化，其拮抗劑為 naloxone；麻醉藥品另有管制品項的雙人核對與登記銷帳規定。口頭或電話醫囑則以覆誦回讀（read-back）並要求事後補簽為原則。這些延伸點都指向同一個考試邏輯：護理師對醫囑不是被動執行，而是先確認其完整與合理。",[25,28,30,32],{"term":26,"count":27},"完整醫囑必備要素",1,{"term":29,"count":27},"p.r.n. 需要時給藥",{"term":31,"count":27},"麻醉性止痛劑用藥安全",{"term":33,"count":27},"醫囑澄清流程",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-2-fundamental-nursing-033","病人因肺部電腦斷層出現陰影而初次入院，有關入院護理之敘述，下列何者最適當？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-106-1-fundamental-nursing-079","每種績效考核方式有其優缺點，護理長若選用檢查表法，下列那個情況不適用？",79,106,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-107-1-fundamental-nursing-013","醫囑為 Dulcolax 1# supp. St.之含意，下列何者正確？",13,107,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-108-1-fundamental-nursing-051","有關安寧療護的敘述，下列何者正確？",51,108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-109-2-fundamental-nursing-015","下列何者不是主責護理（primary nursing）之特性？",15,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-2-fundamental-nursing-049","陳先生手術後 6 小時呈現躁動，意識不清，欲拔除身上管路，護理師欲執行約束法，下列敘述何者錯誤？",49,110,"2026-08-06",1787299031796]