[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-019":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-019","nurse-107-2-fundamental-nursing-019",107,2,19,"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？",{"A":15,"B":16,"C":17,"D":18},"對於醫囑之給藥劑量提出疑問","對於醫囑之給藥途徑提出疑問","依醫囑給藥並計算每分鐘滴速","依醫囑給藥並小心觀察副作用","A",null,[],"本題考點為兒科給藥的劑量安全查核。依說明書孩童安全用量 40 mg\u002Fkg\u002Fday，郭小妹體重 18 kg，每日安全上限為 40 × 18 = 720 mg。醫囑 vancomycin 240 mg q6h，一天四次共 240 × 4 = 960 mg，已超過 720 mg 的安全劑量，故護理師應對給藥劑量提出疑問，選 A。B 給藥途徑 IVF(靜脈輸注)為 vancomycin 常規途徑，無誤。C、D 直接依醫囑給藥並不妥，因劑量已超標，若照給恐致腎毒性與耳毒性，不可略過查核逕行執行。","兒科劑量務必以 mg\u002Fkg\u002Fday 反推每日總量再比對醫囑。vancomycin 過量典型副作用為腎毒性與耳毒性，並有滴注過快引起的『紅人症候群(red man syndrome)』。給藥五對之外，發現劑量異常應執行『查核-澄清』而非盲目給藥，是護理給藥安全的核心把關角色。",[25,28,30],{"term":26,"count":27},"兒科體重換算給藥",1,{"term":29,"count":27},"vancomycin 安全劑量",{"term":31,"count":27},"給藥查核",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-020","對於心肌梗塞病人於胸痛時給與 nitroglycerin（NTG）藥物前後評估之重點，下列何者正確？①瞳孔大小 ②血壓 ③疼痛部位及程度 ④體溫",20,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-036","有關灌腸的禁忌症，下列何者錯誤？",36,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-050","一位長期服用furosemide（Lasix ○ R ）、Warfarin ○ R 的病人，其飲食衛教下列何者適當？",50,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-008","下列何項護理措施，需採外科無菌原則？①胃造瘻灌食 ②氣管內插管抽痰 ③結腸造瘻灌洗 ④胰島素注射",8,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-052","護理師協助收集常規尿液檢查，發現尿液呈現螢光黃色，下列何者為最可能之原因？",52,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-006","林先生：「我堂堂一個大將軍，小輩休想叫我吃藥」。護理師：「將軍伯伯不要這樣，您看我這麼認真照顧您，拜託您把嘴巴張開，啊……」。依據伯恩（Berne）溝通模式，稱為發訊者與收訊者之何種溝通形式？",6,112,"2026-09-04",1788510724274]