[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":12},"nurse-107-1-基本護理學與護理行政-004","nurse-107-1-fundamental-nursing-004",107,1,4,"適用外科無菌之護理技術，包括下列那幾項？①灌腸 ②點滴加藥 ③肌肉注射 ④單次導尿 ⑤傷口換藥",{"A":15,"B":16,"C":17,"D":18},"①③④⑤","①②③④","②③④⑤","①②④⑤","C",null,[],"本題考點為區分需採外科無菌(需維持無菌、器械與範圍完全滅菌)與內科無菌(清潔、減菌)的護理技術。依原則,凡進入無菌體腔或破壞皮膚黏膜屏障者須外科無菌:點滴加藥②(進入密閉靜脈輸注系統)、肌肉注射③(針具穿入無菌組織)、單次導尿④(導管進入無菌尿道膀胱)、傷口換藥⑤(暴露無菌創面)皆屬之,組合為②③④⑤,故選 C。灌腸①僅將灌腸液注入本就有正常菌叢的直腸,屬清潔(內科無菌)技術,故凡含①的 A、B、D 皆非。","判準一句話:『有沒有穿越或暴露到本應無菌的體腔\u002F組織』——有,就外科無菌;只在有常在菌的腔道(腸道、外陰)操作,則內科無菌即可。灌腸是最經典的『內科無菌』代表,因直腸本非無菌環境;而導尿(尿路正常無菌)、注射(穿皮進無菌組織)、靜脈加藥(維持輸液系統無菌)、換藥(保護創面)都要求無菌技術。此題型反覆考『灌腸屬清潔而非無菌』,抓住這個關鍵反例即可排除三個含①的選項。",[25,27,30,32],{"term":26,"count":12},"外科無菌技術",{"term":28,"count":29},"內科無菌技術",3,{"term":31,"count":11},"灌腸屬清潔技術",{"term":33,"count":11},"無菌屏障判準",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-fundamental-nursing-005","依據疾病管制署公告，為懷疑有伊波拉病毒感染病人執行常規醫療照護時，下列何項個人防護設備不適宜？",5,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-107-2-fundamental-nursing-021","小可是一個妊娠週數 32 週的早產兒，目前體重 1.8 kg，有低血糖情形，給與 12.5% glucose water 靜脈輸注中。小可因血紅素過低，依醫囑輸血，輸血後 10 分鐘出現發燒、心搏過速、低血壓、血尿等情形，下列護理措施何者須優先執行？",21,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-108-1-fundamental-nursing-035","協助病人更衣的步驟，下列敘述何者正確？",35,108,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-109-1-fundamental-nursing-073","當單位內因占床率低時，在不違背勞動基準法規範下，要求護理人員拿休假不必來上班，此來自於管理者具有下列何種權力？",73,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-fundamental-nursing-037","下列那些情況，會增加身體無感性水分喪失（insensible losses）？①腹瀉 ②發燒 ③呼吸短促 ④使用利尿劑",37,110,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-111-2-fundamental-nursing-071","由輔助人員（或稱護佐）與護理師共同執行病人照護工作，減少護理師工作負荷，屬於下列何種護理照護模式？",71,111,"2026-09-04",1788510701710]