[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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":11},"nurse-107-1-基本護理學與護理行政-014","nurse-107-1-fundamental-nursing-014",107,1,14,"王先生 48 歲大腸癌術後第二天，目前呈現以下訊息：①腸蠕動 15 次\u002F分 ②臉色蒼白 ③家屬說：「痛到都沒睡」 ④體溫 39℃ ⑤主訴：「我口好渴」。請問那些是屬於客觀資料？",{"A":15,"B":16,"C":17,"D":18},"①②③","①②④","①②⑤","③④⑤","B",null,[],"本題考點為客觀資料的辨識。依定義,客觀資料為可觀察或量測所得的徵象:①腸蠕動 15 次\u002F分(聽診測得)、②臉色蒼白(視診觀察)、④體溫 39℃(量測值)皆屬客觀,組合①②④,故選 B。③『家屬說痛到都沒睡』為家屬口述、⑤『主訴我口好渴』為病人陳述,兩者皆屬主觀資料;凡含③或⑤的 A、C、D 均非。","延續 012 的主客觀判準:凡『護理師以感官(視、聽、觸、嗅)或儀器測得』者為客觀;凡『病人\u002F家屬口述的感受、症狀』者為主觀。本題把生命徵象與身體評估(蠕動音、膚色、體溫)歸客觀,把疼痛、口渴等主訴歸主觀,是最典型的分類練習。要點:疼痛雖臨床重要,但因無法被他人直接量測、僅能由病人自陳,一律歸主觀;蒼白雖也是描述性,但來源是護理師視診觀察,故屬客觀。抓住『資料來源與是否可量測』即可穩答。",[25,27,29,31],{"term":26,"count":11},"客觀資料(徵象)",{"term":28,"count":11},"主觀資料(症狀\u002F主訴)",{"term":30,"count":11},"身體評估與生命徵象",{"term":32,"count":11},"護理評估分類",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-fundamental-nursing-015","下列那項護理可減少病人傷口感染的機會？",15,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-107-2-fundamental-nursing-031","下列何者為人體的排泄器官（或系統）？①口腔 ②皮膚 ③肺臟 ④小腸",31,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-108-1-fundamental-nursing-045","有關促進吳太太睡眠之護理措施，下列敘述何者錯誤？",45,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-fundamental-nursing-003","照護 H5N1 流感病毒感染的病人時，在穿戴各項個人防護措施時，下列何者錯誤？",3,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-fundamental-nursing-047","下列個案情境，何者未達國際睡眠障礙分類法所建議失眠（insomnia）的標準？",47,110,{"webId":59,"stem":60,"number":11,"year":61,"session":11},"nurse-112-1-fundamental-nursing-001","王先生，闌尾炎痊癒即將出院，但看起來心情欠佳。依羅氏適應模式（Roy’s adaptation model）生理、心理與社會的整體評估，下列敘述何者正確？",112,"2026-09-04",1788510701825]