[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-076","nurse-107-1-fundamental-nursing-076",107,1,76,"護理長巡視病房時，發現某護理師的病人臉色發黑，氧氣面罩的開關未開，此時護理長應立即執行下列何種處理？",{"A":15,"B":16,"C":17,"D":18},"當面教導護理師正確的做法","嚴肅的糾正護理師的錯誤","將此事件列入護理師的績效考核","調整正確的氧氣流量並通知醫生","D",null,[],"本題考點是病人安全事件的處置優先次序。依病人安全與危機處理原則，護理長發現病人臉色發黑、氧氣面罩開關未開，代表病人正處於缺氧的危急狀況，應以維護生命安全為第一優先，立即調整正確氧氣流量並通知醫師（D），先解除立即威脅。A 當面教導、B 嚴肅糾正、C 列入績效考核，都是把處理『護理師的過失』置於『病人的立即危險』之前，違反『病人安全優先』原則，且事後檢討與教育應在病人穩定後再進行。本題關鍵在於現場有危及生命的缺氧，任何指導與究責都須讓位於即刻的救護處置。","此題結合病人安全與管理者角色的優先次序判斷：面對正在發生的生理危機，遵循『先救人、後檢討』——即刻恢復氧氣供應並啟動醫療團隊，屬 ABC 中的 Breathing。糾正、教導、考核屬事後的人員管理與系統改善，宜在事件穩定後以不責難（just culture）方式進行根本原因分析，重點放在流程改善而非個人懲罰。應試通則：凡選項中出現『病人正處危急』與『處理人員問題』並列時，永遠先選處理病人生命的選項。",[25,28,30,32],{"term":26,"count":27},"ABC 原則",2,{"term":29,"count":11},"病人安全優先",{"term":31,"count":11},"缺氧急救處置",{"term":33,"count":11},"不責難文化",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-fundamental-nursing-077","有關品管圈的敘述，下列何者錯誤？",77,{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-108-1-fundamental-nursing-013","朱太太 32 歲，因盲腸破裂引發腹膜炎而入院開刀，目前是手術後第二天，TPR：37.5℃、80 次\u002F分、 28 次\u002F分；BP：146\u002F90 mmHg；皺著眉頭一臉痛苦的告訴護理人員：「腹部傷口很痛，整晚都不敢翻身，也睡不著，現在全身都不舒服……」。張護理師針對上述情形為朱太太下了「手術後傷口疼痛」的健康問題，並以 SOAP 方式記錄，則下列何種記錄錯誤？",13,108,{"webId":45,"stem":46,"number":47,"year":43,"session":27},"nurse-108-2-fundamental-nursing-027","下列何者屬於間接觀察法（indirect observation）之觀察項目？①觀察傷口出現 50%的腐肉 ②叩診腹部為鼓音 ③查閱病歷 Hb：10g\u002FdL ④經會診報告得知病人雙側肺葉浸潤 ⑤聽診呼吸音雙下肺葉為囉音（rales） ⑥查閱護理紀錄了解病人疼痛緩解程度",27,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-2-fundamental-nursing-065","下列何者不屬於職業災害的要件？",65,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-fundamental-nursing-029","吳老先生住院多日未解便，醫囑給予意福灌腸液（EVAC enema）行小量灌腸，下列敘述何者正確？",29,111,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-112-1-fundamental-nursing-063","某病房護理長依照工作時段的特性安排白班、小夜班、大夜班照護人力，下列何者的配置比例最適宜？",63,112,"2026-09-04",1788510702387]