[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":60},"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-014","nurse-107-2-fundamental-nursing-014",107,2,14,"有關以 S.O.A.P.I.E 書寫護理紀錄，下列何者為針對「E」之描述？",{"A":15,"B":16,"C":17,"D":18},"病人主訴翻身時傷口疼痛","因手術後導致傷口疼痛","運用非藥物性方法減輕疼痛","疼痛指數由 5 分降為 3 分","D",null,[],"本題考點為 SOAPIE 紀錄格式中『E(Evaluation 評值)』的內涵。依 SOAPIE 定義，E 是執行護理措施後對成效的再評估，須呈現可量化的變化，故 D『疼痛指數由 5 分降為 3 分』顯示介入後的成效，屬 E，為正解。A『病人主訴翻身時傷口疼痛』是病人陳述，屬 S(Subjective 主觀)。B『因手術後導致傷口疼痛』是對問題成因的分析判斷，屬 A(Assessment 評估)。C『運用非藥物性方法減輕疼痛』是實際執行的處置，屬 I(Implementation 措施)，非評值。","SOAPIE 拆解：S 主觀(病人說的)、O 客觀(測得的數據徵象)、A 分析(護理診斷\u002F成因)、P 計畫、I 執行、E 評值(措施後成效)。判別 E 的關鍵是『前後對比出現變化』，如疼痛分數、傷口大小、體溫下降，只要句子帶『由…變為…』多半是 E。",[25,28,30],{"term":26,"count":27},"SOAPIE 紀錄",1,{"term":29,"count":27},"Evaluation 評值",{"term":31,"count":27},"護理紀錄格式",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-015","以下醫囑：N\u002FS 500 c.c. + KCL 15 mEq IVD stat.，如果 KCL 1 amp.容量為 20 c.c. 內含有 KCL 40 mEq，加入的 KCL 有多少 c.c.？",15,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-031","張太太產後 4 小時，無法自解小便，護理人員欲協助誘尿，下列何種方式錯誤？",31,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-045","某中風住院病人，根據徒手肌肉測試（manual muscle test）的結果，其肌肉力量（muscle power）等級為不佳（poor），下列何者是最適當的運動？",45,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-003","下列那位專家提出「人生可分成八個發展階段，而每個階段都有其應完成的任務」？",3,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-047","王太太，70 歲，尾骶骨第二期壓傷，下列衛教指導，何者正確？①每 3～4 小時幫病人翻身一次 ②飲食中要注意補充蛋白質與維生素 C，以促進組織的修復 ③尾骶骨處使用氣墊圈，促進血液循環 ④平躺時可於病人小腿處置放小枕頭，使腳跟處騰空，避免腳跟受壓",47,111,{"webId":57,"stem":58,"number":27,"year":59,"session":11},"nurse-112-2-fundamental-nursing-001","隨著時代變遷，臺灣現階段所發展之護理專業化角色及趨勢，下列敘述何者錯誤？",112,"2026-09-04",1788510724223]