[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-038":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-106-1-基本護理學與護理行政-038","nurse-106-1-fundamental-nursing-038",106,1,38,"承上題，下列那些發燒的護理措施不恰當？",{"A":15,"B":16,"C":17,"D":18},"維持室內溫度低於一般室溫","適時給予口腔衛生及清潔","請家屬多些人來陪伴，以減少病人焦慮不安的情緒","採少量多餐，並提供清淡與高熱量之營養食品","C",null,[],"本題考點為發燒病人的護理措施評值。病人剛自境外返台併持續高燒，須考量傳染性疾病與休息需求，C 請多位家屬前來陪伴不恰當，既增交叉感染風險又影響病人休息，為本題答案。A 維持室溫略低於一般室溫助散熱、B 適時口腔清潔（發燒口乾易黏膜破損）、D 少量多餐並提供清淡高熱量飲食補充發燒代謝消耗，皆為恰當措施。故不恰當者為 C。","發燒護理三主軸：促散熱（降室溫、鬆被、溫水拭浴）、補消耗（水分、電解質、高熱量清淡飲食）、顧舒適（口腔清潔、休息）。境外移入高燒者更重感染管制，減少非必要接觸與人流，故『多人陪伴』與防疫及休息相衝突。",[25,28,30,32],{"term":26,"count":27},"感染管制",9,{"term":29,"count":11},"發燒護理措施",{"term":31,"count":11},"散熱與補充熱量",{"term":33,"count":11},"口腔清潔",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-fundamental-nursing-039","下列何者為造成血壓假性偏高的原因？",39,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-106-2-fundamental-nursing-055","一位 50 歲男性，離婚，曾擔任機師已被確診為肺癌末期病人，經歷過化學治療、放射線治療及標靶治療。近日因出現嚴重的喘、呼吸困難及意識改變而入院治療，但因疾病持續進展，目前病人已面臨「瀕死」的階段。此階段病人可能會出現之生理變化，下列何者正確？①希式面容（Facies Hippocratica） ②畢歐氏呼吸（Biot’s respiration） ③鞏膜水腫 ④幻視覺或幻聽覺 ⑤疼痛減弱或消失",55,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-107-1-fundamental-nursing-069","下列何者不屬於人力資源管理的核心重點？",69,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-fundamental-nursing-027","下列何者屬於間接觀察法（indirect observation）之觀察項目？①觀察傷口出現 50%的腐肉 ②叩診腹部為鼓音 ③查閱病歷 Hb：10g\u002FdL ④經會診報告得知病人雙側肺葉浸潤 ⑤聽診呼吸音雙下肺葉為囉音（rales） ⑥查閱護理紀錄了解病人疼痛緩解程度",27,108,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-109-2-fundamental-nursing-071","糖尿病病人住院時訂醫院的素食，但送餐有誤，營養部門進行檢討及改進，下列處理方法何者最不適當？",71,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-1-fundamental-nursing-025","有關用熱治療所產生全身性反應的敘述，下列何者正確？①血壓上升 ②頭暈 ③呼吸變慢 ④脈搏加速",25,111,"2026-09-04",1788510692098]