[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-023":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-023","nurse-106-2-fundamental-nursing-023",106,2,23,"小美沿著靜脈注射處有發紅現象，輸液注入速度變慢，此時下列護理處置何者正確？",{"A":15,"B":16,"C":17,"D":18},"把點滴架調高","更換靜脈注射部位","用生理食鹽水注入沖洗","在發紅處給予熱敷","B",null,[],"本題考點為靜脈注射部位出現發紅、滴速變慢時的處置。依靜脈炎或滲漏的處理原則，此為局部靜脈受刺激或發炎的徵象，正確處置是立即停止該部位輸注並更換靜脈注射部位，故選 B。A 調高點滴架僅增加壓力、無法解決血管發炎，反可能加重滲漏；C 以生理食鹽水強行沖洗會把刺激性液體推入已受損血管，加重組織傷害；D 在發紅處熱敷屬後續症狀處理，且在未更換部位、仍持續輸注的情況下並非首要，應先移除病灶。故正確為更換注射部位。","靜脈輸注併發症鑑別：靜脈炎（紅、痛、沿血管硬索狀）、滲漏或外滲（腫、冷、回血消失）、局部感染。三者的處置共通首步是停止輸注並更換部位；發炎後可依情況施予冷或熱敷，但先移除刺激來源才是關鍵。",[25,28,30,33],{"term":26,"count":27},"靜脈炎",3,{"term":29,"count":11},"更換注射部位",{"term":31,"count":32},"滲漏",1,{"term":34,"count":32},"靜脈輸注併發症",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-fundamental-nursing-024","有關血栓靜脈炎的敘述，下列何者錯誤？",24,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-fundamental-nursing-040","測量成人病人脈搏時，發現速率超過 100 次／分鐘，間隔時間長短不一，其先後相繼無一定的節律，呈現跳幾下停一下的狀況，病人脈搏所呈現的脈律不整，下列何者最有可能？①二重脈 ②三重脈 ③間歇脈 ④心搏過速",40,107,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-107-2-fundamental-nursing-054","有關需要長期照護病人之出院返家準備，下列何者錯誤？",54,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-109-1-fundamental-nursing-012","王老太太，80 歲，護理人員為王老太太做背部護理時，開始與結束時常用下列何種方法？",12,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-1-fundamental-nursing-056","趙先生 68 歲，意識清楚，診斷肝硬化合併食道靜脈曲張，血小板：22,000\u002FμL，痰乾且量少，因病人發燒寒顫，醫師開立收集痰液培養（sputum culture）之醫囑，護理人員應如何執行最為適當？",56,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-fundamental-nursing-010","執行病人身體擦澡時，同時觀察其骨突處有無發生壓傷，屬於下列何種觀察種類？",10,111,"2026-09-04",1788510697594]