[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-107-1-基本護理學與護理行政-022","nurse-107-1-fundamental-nursing-022",107,1,22,"王先生術後第一天正接受大量靜脈輸液，護理師發現點滴的滴速時慢時停，下列處置措施何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"評估王先生注射部位是否腫脹","檢查管路是否扭曲、受壓","檢查導氣針是否阻塞","調整點滴架高度，滴定室液面距離注射部位至少 45～60 公分","D",null,[],"本題考點在點滴滴速不順的排除步驟與正確懸掛高度。依靜水壓原理,點滴靠瓶內液面與注射部位的高度差產生壓力驅動,滴室液面須高於注射部位約75~90公分才能維持穩定滴速;選項D說「至少45~60公分」過低,靜水壓不足會使滴速時慢時停,屬錯誤處置,故選D。A評估注射部位是否腫脹可判斷是否滲漏浸潤、B檢查管路扭曲受壓、C檢查導氣針是否阻塞(玻璃瓶裝需導氣針平衡瓶內壓力),三者皆為滴速不順時的正確評估步驟。","滴速不順常見四因:局部滲漏浸潤、管路扭曲、針頭斜面貼血管壁、瓶內負壓(導氣針阻塞)。懸掛過低是最易被忽略的機械因素。口訣:一看部位、二理管路、三查導氣、四調高度。",[25,28,30,32,34],{"term":26,"count":27},"靜脈滲漏",2,{"term":29,"count":11},"靜水壓原理",{"term":31,"count":11},"點滴懸掛高度",{"term":33,"count":11},"滴室",{"term":35,"count":11},"導氣針",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-107-1-fundamental-nursing-023","李奶奶 90 歲，有中風的病史。因泌尿道感染住院治療，瘦弱，皮膚薄，常常四肢冰冷、忽冷忽熱，發燒時會有意識混亂的情形。有關病人之冷熱護理，下列何者較適當？",23,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-107-2-fundamental-nursing-039","有關脈搏之敘述，下列何者錯誤？",39,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-108-1-fundamental-nursing-053","下列何種抽血檢驗在收集檢體前，病人不需要禁食 6～8 小時？",53,108,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-109-2-fundamental-nursing-011","有關呼吸特性之敘述，下列何者正確？",11,109,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-110-2-fundamental-nursing-055","莊太太有貧血，預做糞便潛血試驗（化學法），下列措施何者錯誤？",55,110,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-112-1-fundamental-nursing-009","自 2023 年起，一位 14 歲氣喘病人，其病歷保存年限，下列何者正確？",9,112,"2026-09-04",1788510701885]