[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-043":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-043","nurse-106-1-fundamental-nursing-043",106,1,43,"針對此病人狀況，下列護理措施何者不適當？",{"A":15,"B":16,"C":17,"D":18},"以長捲軸置於身體兩側腰至膝蓋處避免髖部外旋","翻身時特別留意偏癱側肢體皮膚狀態","隨時評估病人的意識狀態變化","協助執行四肢關節加阻力運動","D",null,[],"本題考點為腦梗塞急性期、意識不清且完全臥床病人的復健與擺位原則。依關節活動原則,意識不清無法配合的臥床病人只能執行被動關節運動以維持關節活動度、預防攣縮,不可施行需病人主動出力並外加阻力的加阻力運動,故D為不適當措施。A以長捲軸(trochanter roll)置於腰至膝外側可防止髖關節外旋,屬正確擺位;B翻身時檢視偏癱側皮膚可預防壓傷,正確;C持續評估意識變化以掌握病情,正確。故不適當者為D。","運動適應症階梯:意識不清→被動ROM;可自主→主動ROM;肌力足夠再進展至加阻力運動。加阻力運動增加心肌耗氧,腦血管病變急性期不宜貿然施行。",[25,27,29,31],{"term":26,"count":11},"被動關節運動",{"term":28,"count":11},"加阻力運動適應症",{"term":30,"count":11},"腦梗塞急性期擺位",{"term":32,"count":11},"trochanter roll防髖外旋",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-106-1-fundamental-nursing-044","林先生已經清醒，發現右側肢體癱瘓無力，心情極為沮喪，一直嘆氣並表示：「以後要怎麼辦才好！」下列措施何者較為合適？",44,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-106-2-fundamental-nursing-060","有關「80\u002F20」的原理，下列何者錯誤？",60,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-fundamental-nursing-074","有關實施診斷關聯群（DRGs）給付制度之敘述，下列何者正確？",74,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-fundamental-nursing-032","給軟便劑時，病人主訴服用該藥物後腹瀉嚴重，拒絕服用，此時下列何者為護理師最適當之處置？",32,108,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-109-2-fundamental-nursing-076","根據 Donabedian（1966）醫療服務品質保證的概念架構，下列何者是「結構」層面的考核？①護理師的資格與素養 ②住院病人的泌尿道感染率 ③護理師的人力配置 ④護理技術執行的正確性",76,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-1-fundamental-nursing-030","放置存留導尿管的病人需收集尿液檢體進行細菌培養（urine culture），收集方式之敘述下列何者正確？",30,111,"2026-09-04",1788510692154]