[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":31,"lastmod":61},"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-041","nurse-106-1-fundamental-nursing-041",106,1,41,"照護 1 歲 9 個月的兒童時，測量生命徵象的順序，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"呼吸→脈搏→體溫→血壓","血壓→體溫→呼吸→脈搏","體溫→血壓→呼吸→脈搏","脈搏→呼吸→血壓→體溫","A",null,[],"本題考點在於幼兒生命徵象的測量順序原則:應先執行不會引起哭鬧、干擾最小的項目,再做會造成不適的侵入性測量。呼吸與脈搏須在幼兒安靜狀態下才能測得準確,故最先進行;體溫、血壓的測量易使幼兒抗拒哭鬧,一旦哭鬧會使呼吸脈搏數值失真,故排在後面。依此原則,正確順序為呼吸→脈搏→體溫→血壓,選A。B、C選項以血壓或體溫開頭,會先引發哭鬧而影響後續呼吸脈搏的準確性;D將血壓排在體溫之前、且以脈搏開頭,未把最易受哭鬧干擾的呼吸置於最前,順序不當。","口訣「先安靜項目、後侵入干擾」——凡需病人合作、易受哭鬧影響的呼吸脈搏先測,體溫血壓等不適項目殿後;成人測量順序可較彈性,嬰幼兒尤須遵守此原則以免數值失真。",[25,27,29],{"term":26,"count":11},"幼兒生命徵象測量順序",{"term":28,"count":11},"呼吸脈搏易受哭鬧影響",{"term":30,"count":11},"非侵入先於侵入原則",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-106-1-fundamental-nursing-042","當血壓為 146\u002F82 mmHg 時，平均動脈壓為多少？",42,{"webId":37,"stem":38,"number":39,"year":10,"session":40},"nurse-106-2-fundamental-nursing-058","某護理師發藥的過程中常因在電腦系統上尋找藥物的作用，也常因病人家屬要乾淨的床單而中斷發藥，亦也常因須回護理站回電而中斷病人衛教。情境中那一部分是屬於干擾時間管理的內在因素？",58,2,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-107-1-fundamental-nursing-072","根據 Donabedian（1966）所提出的醫療服務品質概念，護理部定期至病房觀察護理師發藥是否有遵照三讀五對，這屬下列那一種考核？",72,107,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-108-2-fundamental-nursing-030","陳先生罹患糖尿病，醫囑開立 RI 20U S.C. tid A.C.，以胰島素空針注射之技術，下列何者錯誤？",30,108,{"webId":52,"stem":53,"number":54,"year":55,"session":40},"nurse-109-2-fundamental-nursing-074","值班護理長在巡房時，發現樓梯間有火花且冒濃煙情形，故緊急辨識問題，解除危機。依據決策者思考方式，此位主管採用下列何者以解決問題？",74,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-111-1-fundamental-nursing-028","古先生，腳踝扭傷，護理師給予冷敷其腳踝。30 分鐘後，古先生主訴其肢體出現發紅的現象，此現象是屬於何種效應？",28,111,"2026-09-04",1788510692133]