[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":61},"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-018","nurse-107-2-fundamental-nursing-018",107,2,18,"王先生，45 歲，胰臟炎術後，抽血檢查鉀離子 2.7 mEq\u002FL，醫囑開立 KCL 10 mEq St.，護理師在執行此醫囑時，下列何者必須先向開立醫囑醫師澄清？",{"A":15,"B":16,"C":17,"D":18},"藥物劑量","給藥途徑","給藥時間","藥物名稱","B",null,[],"本題考點為 KCL 靜脈給藥的安全性與醫囑澄清。依高警訊藥物給藥原則，KCL(氯化鉀)絕不可直接靜脈推注，否則會造成致命性高血鉀與心律不整，必須稀釋於點滴中緩慢滴注。此醫囑『KCL 10 mEq St.』未明確載明稀釋與滴注方式，護理師執行前最須向醫師澄清的是給藥途徑，故選 B。A 藥物劑量 10 mEq 尚屬合理範圍，非首要疑問。C 給藥時間 St.(立即)語意明確。D 藥物名稱清楚，均無須優先澄清。","鉀離子直接進入血流會瞬間拉高血鉀，使心肌細胞去極化受阻導致心室顫動甚至心跳停止，故 KCL 是『絕不可 IV push』的經典高警訊藥物。安全給法：稀釋後周邊靜脈濃度不超過 40 mEq\u002FL、滴速一般不超過 10 mEq\u002Fhr。此題與第 15 題同組，提醒鉀補充的計算與途徑雙重安全。",[25,28,30],{"term":26,"count":27},"高警訊藥物",1,{"term":29,"count":27},"KCL 靜脈給藥禁忌",{"term":31,"count":27},"給藥途徑澄清",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-019","郭小妹，6 歲，體重 18 公斤，醫囑「vancomycin 240mg IVF q6h」。vancomycin 的藥品說明書載明：「孩童的安全用量為 40mg\u002Fkg\u002Fday，須分次給藥」。針對此醫囑的執行，下列敘述何者最適當？",19,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-035","協助病人更衣的步驟，下列敘述何者正確？",35,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-049","李先生因左小腿脛骨處有一 5 %TBSA 燒傷，進行分層皮膚移植（split-thickness graft, STSG），術後以短腿石膏夾板固定，有關包紮注意事項，下列敘述何者錯誤？",49,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-007","有關病人症狀（symptoms）資料的敘述，下列何者正確？",7,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-051","有關尿液培養採檢之敘述，下列何者正確？",51,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-005","有關穿脫隔離衣之敘述，下列何者正確？①脫除隔離衣時，應將污染區包裹在裡面送洗 ②隔離衣須覆蓋至手腕、膝蓋為佳 ③脫隔離衣時，只能持拿外面，以維持裡面乾淨 ④脫下隔離衣後應該立即洗手",5,112,"2026-09-04",1788510724270]