[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-023","nurse-107-1-fundamental-nursing-023",107,1,23,"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？",{"A":15,"B":16,"C":17,"D":18},"發冷時熱水浸泡為較佳選擇","發高燒時給予酒精拭浴為佳","使用乾熱時，宜低於成人建議溫度 5℃","持續於四肢放置熱水袋保暖","C",null,[],"本題考點在高齡、皮膚薄且循環差病人的冷熱護理安全。依老年人表皮變薄、感覺遲鈍、體溫調節能力下降的生理特性,施予乾熱時應比成人建議溫度再降低約5℃以防燙傷,故C正確。A發冷時以熱水浸泡,老人皮膚薄、感覺退化易燙傷,非最佳;B高燒時酒精拭浴已不建議,酒精快速蒸發易致寒顫並刺激循環,對高齡者更不宜;D持續放置熱水袋,長時間接觸恐低溫燙傷且違反間歇原則。故選C。","老人、嬰幼兒、意識不清、感覺或循環障礙者屬熱療高危險群,溫度需下修、時間縮短並頻繁查看皮膚。酒精拭浴退燒已被溫水拭浴取代。口訣:高危族群「低溫、短時、勤查」。",[25,28,31,33,35],{"term":26,"count":27},"溫水拭浴",3,{"term":29,"count":30},"低溫燙傷",2,{"term":32,"count":11},"老年人皮膚生理",{"term":34,"count":11},"乾熱療法溫度",{"term":36,"count":11},"冷熱療護危險群",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-107-1-fundamental-nursing-024","為達冰敷最好療效，每次冰敷時間以多久為宜？",24,{"webId":43,"stem":44,"number":45,"year":10,"session":30},"nurse-107-2-fundamental-nursing-040","測量心臟血管疾病成年病人之每分鐘心跳次數，下列敘述何者正確？",40,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-108-1-fundamental-nursing-054","柯老太太，82 歲，身上多處壓瘡傷口，入院時 GCS：E4V5M5，BP：118\u002F78 mmHg，體溫 37.6℃， 24 小時後柯老太太出現下列何種情況需立即報告？",54,108,{"webId":52,"stem":53,"number":54,"year":55,"session":30},"nurse-109-2-fundamental-nursing-012","沾到病人血液的傷口紗布，應依下列何種廢棄物規定處理？",12,109,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-110-2-fundamental-nursing-056","林先生診斷為肝癌末期，住院期間剛好遇到鄰床同樣是癌末的病人過世，林先生晚上因害怕無法入睡並時常按叫人鈴，下列何者是最優先的護理措施？",56,110,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-112-1-fundamental-nursing-010","依據馬斯洛（Maslow）的人類需求理論，下列護理問題之優先順序何者排列最適宜？①社交互動障礙 ②低效性呼吸型態 ③靈性困擾 ④身體心像改變",10,112,"2026-09-04",1788510701903]