[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-106-1-基本護理學與護理行政-019","nurse-106-1-fundamental-nursing-019",106,1,19,"護理師進入病室準備執行 9AM 之口服給藥，發現病人有嘔吐、腹瀉及發燒情形，且意識混亂；下列何者為護理師最適當的處理？",{"A":15,"B":16,"C":17,"D":18},"依照醫囑給予 9AM 口服藥","將口服藥改為肌肉注射給藥","等病人嘔吐後再給予 9AM 之口服藥","先不給予 9AM 之口服藥並立即連絡醫師","D",null,[],"本題考點為給藥前病情評估與異常時的處置判斷。依給藥原則，執行前須評估病人狀況；病人出現嘔吐、腹瀉、發燒併意識混亂，屬病情改變、且意識不清有吸入性風險，此時不宜依原醫囑給口服藥，正解為 D 先暫停給藥並立即聯絡醫師。A 照原醫囑給藥忽略病情變化；B 護理師不可自行將口服改肌肉注射（更改給藥途徑須醫囑）；C 等嘔吐後再給仍未評估病因，皆不適當。","口服給藥禁忌包含意識不清、噁心嘔吐、吞嚥困難、禁食（NPO）等，因有吸入性肺炎風險。給藥途徑屬醫囑範疇，護理師發現異常的正確路徑是『暫停＋通報醫師重新評估醫囑』，體現護理判斷與醫療團隊協作。",[25,27,29,31],{"term":26,"count":11},"給藥前評估",{"term":28,"count":11},"病情改變處置",{"term":30,"count":11},"給藥途徑不可自行更改",{"term":32,"count":11},"意識混亂與吸入風險",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-106-1-fundamental-nursing-020","病人因血栓接受肝素（Heparin）治療，下列敘述何者正確？①適合採用肌肉注射給藥 ②注射肝素時需回抽有無回血 ③需監測 activated partial thromboplastin time（aPTT） ④注射後不需按摩",20,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-106-2-fundamental-nursing-036","蔣奶奶 16 小時未解尿，膀胱脹，經誘尿無效需導尿。下列護理措施何者較不適當？",36,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-fundamental-nursing-050","臨終病人的脈搏，較易測得的部位是：",50,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-fundamental-nursing-008","以身體而言，溫度最高的部位為下列何者？",8,108,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-109-2-fundamental-nursing-052","下列何者為痰液呈現鐵鏽色之最可能原因？",52,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-1-fundamental-nursing-006","下列何者不屬於內科無菌的技術？",6,111,"2026-09-04",1788510691894]