[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"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":27},"nurse-106-1-基本護理學與護理行政-053","nurse-106-1-fundamental-nursing-053",106,1,53,"王先生診斷為直腸癌末期併有多處骨頭轉移，住安寧病房，生命存活期以「日」計算，目前血壓下降，脈搏微弱，膝部以下呈現冰冷，其臨終照護，下列何者最適切？",{"A":15,"B":16,"C":17,"D":18},"設定電動血壓計每隔 10 分鐘監測生命徵象","將急救車推入病床旁準備插管急救","引導家屬與病人道別並陪伴在側","在病床旁與家屬討論後事準備","C",null,[],"本題考點為瀕死病人存活期以日計的安寧臨終照護重點:以舒適、陪伴與善終為目標,而非侵入性監測或積極急救。C引導家屬與病人道別並陪伴在側,符合安寧照護精神,最適切,選C。A每10分鐘測量生命徵象徒增干擾與不適;B推急救車插管急救違背安寧緩和不施行心肺復甦的原則;D在病床旁討論後事,病人臨終聽覺常仍存在,於床邊談論並不妥當。故最適切者為陪伴道別的C。","安寧瀕死照護重舒適與善終,減少無效監測與急救;臨終病人聽覺最後消失,床邊宜輕聲陪伴道別,勿於床旁高頻測量、急救或談論後事。",[25,28,30],{"term":26,"count":27},"臨終聽覺最後消失",2,{"term":29,"count":11},"安寧臨終照護",{"term":31,"count":11},"瀕死病人舒適照護",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-106-1-fundamental-nursing-054","病人靜脈輸液管路阻塞且測試無回血時，下列立即處置何者最適切？",54,{"webId":38,"stem":39,"number":40,"year":10,"session":27},"nurse-106-2-fundamental-nursing-070","下列何者不是促進主管授權的因素？",70,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-107-2-fundamental-nursing-004","有關內科無菌洗手原則之敘述，下列何者正確？",4,107,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-108-2-fundamental-nursing-042","病人採側臥，應留意側身肢體易受壓迫處皮膚狀態，下列何者除外？",42,108,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-110-1-fundamental-nursing-006","提供左側下肢乏力但意識清楚之老人安全環境，下列敘述何者正確？",6,110,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-111-1-fundamental-nursing-040","關於心搏過緩（bradycardia）的描述，下列何者正確？",40,111,"2026-09-04",1788510692287]