[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-106-2-基本護理學與護理行政-007","nurse-106-2-fundamental-nursing-007",106,2,7,"林先生在修理門窗時不慎由二樓摔下來，經家人送到醫院急診時，臉色蒼白、閉眼皺眉、呼吸急促並主訴頭暈。護理師測得其血壓為 142\u002F96 mmHg、心跳 102 次\u002F分。下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"血壓及頭暈為主觀症狀","呼吸急促及臉色蒼白為客觀症狀","閉眼皺眉及心跳為徵象（signs）","血壓及呼吸急促為徵象","B",null,[],"本題考點在區分主觀資料、客觀資料與徵象(signs)。依定義,主觀症狀是病人自述、他人無法直接觀測者(如頭暈);客觀資料是可觀察或測量的表現(如臉色蒼白、呼吸急促);徵象常指可量測的生命徵象(如血壓、心跳)。B 呼吸急促及臉色蒼白均屬可被觀察的客觀表現,敘述正確,故選B。A 錯在把可測量的血壓歸為主觀;C 錯在把屬客觀表現的閉眼皺眉與心跳並列為徵象(閉眼皺眉是觀察到的客觀症狀而非量測徵象);D 錯在把觀察性的呼吸急促當作量測徵象,與血壓混為一談。","分辨口訣:病人「說」的=主觀(症狀);護理師「看到\u002F量到」的=客觀。客觀再細分:觀察得到的客觀症狀(蒼白、皺眉、呼吸急促)與用工具量得的徵象\u002F生命徵象(血壓、脈搏、體溫、呼吸次數)。本題陷阱在於「呼吸急促」是質性觀察(客觀症狀),而血壓142\u002F96、心跳102是量測值(徵象),兩者不可混稱,故D、C皆錯。臨床資料收集需主客觀並重,才能完整評估。",[25,28,30,33],{"term":26,"count":27},"主觀與客觀資料",5,{"term":29,"count":27},"生命徵象",{"term":31,"count":32},"徵象(signs)與症狀(symptoms)",1,{"term":34,"count":32},"護理評估資料收集",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-fundamental-nursing-008","一位母嬰同室的產婦對護理師說：「我的寶寶每次吸奶時都會發出聲音，而且不到 2 小時就要餵，太累了，我不想餵了。」下列何者為最合宜的護理措施？",8,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-fundamental-nursing-024","為達冰敷最好療效，每次冰敷時間以多久為宜？",24,107,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-107-2-fundamental-nursing-038","江小姐，參與路跑活動後，出現大量流汗、皮膚蒼白濕冷、血壓降低、脈搏快而弱、頭痛及噁心的現象，下列敘述何者正確？①江小姐出現熱衰竭的情形 ②江小姐出現中暑的情形 ③稍微將下肢抬高 ④頭部稍為墊高",38,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-108-2-fundamental-nursing-076","某護理長常以組織目標運用激勵人心方式與護理師溝通，讓部屬激發其才智，並感覺被尊重及認同，此屬於何種領導類型？",76,108,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-1-fundamental-nursing-040","有關影響呼吸的相關因素，下列敘述何者正確？",40,110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-111-1-fundamental-nursing-074","在衝突的發展過程中，那一個階段最適合運用衝突處理技巧來避免非功能性衝突繼續擴大？",74,111,"2026-09-04",1788510697053]