[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-011":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":27},"nurse-107-2-基本護理學與護理行政-011","nurse-107-2-fundamental-nursing-011",107,2,11,"個案因痰液顏色改變，護理師書寫紀錄之最主要目的為何？",{"A":15,"B":16,"C":17,"D":18},"溝通","法律證明文件","教育實習生","調查研究","A",null,[],"本題考點在於護理紀錄的首要功能。依護理紀錄的定義，其核心目的是作為醫療團隊間傳遞病人資訊、確保照護連續性的溝通工具；痰液顏色改變屬病情變化，護理師書寫下來，最主要是讓其他班別與醫療人員即時得知，故選 A 溝通。B 法律證明文件雖為病歷的重要屬性，但屬事後舉證的次要功能，非書寫當下的首要目的。C 教育實習生是病歷的附加用途，並非護理師記錄的主要考量。D 調查研究須經彙整分析才成立，屬病歷的延伸價值，與即時記錄病情變化的初衷不符。","護理紀錄的功能可記為『溝通、法律、教育、研究、稽核\u002F給付』，其中溝通永遠是第一位——紀錄若無法讓接手者讀懂病情，其餘功能皆失去基礎。臨床上交班、跨科會診都倚賴紀錄傳遞，故任何『記錄目的』題幹只要沒有特別情境，優先選溝通；問到『打官司舉證』才選法律證明。",[25,28,31],{"term":26,"count":27},"照護連續性",5,{"term":29,"count":30},"護理紀錄目的",1,{"term":32,"count":30},"醫療團隊溝通",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-2-fundamental-nursing-012","有關病歷保存之敘述，下列何者錯誤？",12,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-108-1-fundamental-nursing-028","有關電熱墊使用注意事項，下列敘述何者正確？①一般使用中溫 51.8～57.3˚C（125～135˚F），以免燙傷 ②使用前皮膚必須擦乾以免造成電擊休克 ③使用時應避免置於身體下而影響散熱 ④使用電熱墊時應以別針固定，以防絨布套滑脫而被燙傷",28,108,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-108-2-fundamental-nursing-042","病人採側臥，應留意側身肢體易受壓迫處皮膚狀態，下列何者除外？",42,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-109-2-fundamental-nursing-080","有關醫院評鑑實地訪查之敘述，下列何者正確？①決定優先查證重點 ②以病人為焦點的查證方式（patient focus method；PFM）案例追查 ③交叉查證 ④審核申報健保給付",80,109,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-111-1-fundamental-nursing-044","短腸症病人以全靜脈營養（TPN）方式供給營養，下列敘述何者錯誤？",44,111,{"webId":58,"stem":59,"number":60,"year":61,"session":30},"nurse-112-1-fundamental-nursing-078","下列何者不屬於經常性支出預算？",78,112,"2026-09-04",1788510724200]