[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-046":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-046","nurse-106-2-fundamental-nursing-046",106,2,46,"約束病人時，需注意肢體血液循環，有關評估方式：C.T.M.S.的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"C 代表顏色","T 代表溫度","M 代表活動能力","S 代表心理的感受","D",null,[],"本題考點是約束病人肢體循環評估的 C.T.M.S. 定義。依標準評估架構,C.T.M.S. 分別代表 Color(顏色)、Temperature(溫度)、Movement\u002FMotion(活動能力)與 Sensation(感覺),用以監測被約束肢體的神經血管狀態,故 D「S 代表心理的感受」錯誤,S 應為生理性的「感覺」而非心理感受,選 D。A 的 C 代表顏色、B 的 T 代表溫度、C 的 M 代表活動能力,皆正確。核心在辨識這四項都是評估血液循環與神經功能的客觀指標,與心理層面無關。","約束後須定時(常規每 15～30 分鐘)評估遠端肢體的神經血管狀態:顏色蒼白或發紺、溫度冰冷、無法活動、麻木或刺痛感,均提示循環受阻或神經壓迫,應立即鬆解。這與骨科石膏、包紮後評估的『5P』(Pain、Pallor、Pulselessness、Paresthesia、Paralysis)相通。記憶『色溫動覺』四字訣,可連結至約束的合法要件與併發症預防。",[25,28,30,33],{"term":26,"count":27},"身體約束",3,{"term":29,"count":11},"神經血管評估",{"term":31,"count":32},"CTMS 評估",1,{"term":34,"count":32},"感覺 Sensation",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-2-fundamental-nursing-047","高纖維飲食的主要應用原理，下列何者錯誤？",47,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-fundamental-nursing-063","護理部主任主張醫院應該要讓同仁感受到被尊重與重視，才會有意願改變其行為，努力達成醫院的目標，要相信人是有潛能與創造力，都希望能自我實現，提升自己的知識與技能，這個主張比較接近下列那個時期的觀點？",63,107,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-107-2-fundamental-nursing-077","主管擔心若部屬考評結果偏低，恐會造成負面影響而打擊工作士氣，因此將部屬考核分數普遍評分偏高，這是屬於下列何者？",77,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-109-1-fundamental-nursing-035","有關糞便嵌塞使用手指挖除糞石之注意事項，下列敘述何者正確？",35,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-110-1-fundamental-nursing-079","醫院湧入大量粉塵爆傷患，經此嚴重的災難後，醫院為推動持續品質改善機制，下列何者較適合作為事後分析工具？",79,110,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-111-2-fundamental-nursing-033","護理師為老年病人執行背部護理時，下列何者錯誤？",33,111,"2026-09-04",1788510697842]