[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-038":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-038","nurse-107-2-fundamental-nursing-038",107,2,38,"江小姐，參與路跑活動後，出現大量流汗、皮膚蒼白濕冷、血壓降低、脈搏快而弱、頭痛及噁心的現象，下列敘述何者正確？①江小姐出現熱衰竭的情形 ②江小姐出現中暑的情形 ③稍微將下肢抬高 ④頭部稍為墊高",{"A":15,"B":16,"C":17,"D":18},"①③","①④","②③","②④","A",null,[],"本題考點為熱衰竭的辨識與處置。江小姐運動後大量流汗、皮膚蒼白濕冷、血壓降低、脈搏快而弱，是體液大量流失致循環血量不足，符合①熱衰竭的表現(而非中暑)；處置上應③稍微抬高下肢，以增加靜脈回流、改善腦部灌流，故①③組合的 A 為正解。②中暑以皮膚乾熱、無汗、體溫極高、意識障礙為特徵，與本題濕冷多汗不符。④頭部墊高會使已偏低的腦部血流更不足，方向錯誤，故含②或④的 B、C、D 均不選。","熱衰竭與中暑鑑別：熱衰竭因大量流汗脫水，皮膚濕冷蒼白、體溫正常或略升、意識清醒，屬循環問題；中暑因體溫調節衰竭，皮膚乾熱無汗、核心體溫大於 40°C、意識障礙，是致命急症。熱衰竭處置採休克臥位(平躺抬腿)補充水分與電解質；中暑則首重快速降溫。",[25,28,30],{"term":26,"count":27},"熱衰竭 vs 中暑",1,{"term":29,"count":27},"循環血量不足",{"term":31,"count":27},"抬高下肢促回流",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-039","有關脈搏之敘述，下列何者錯誤？",39,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-055","鍾先生接受冠狀動脈繞道手術後，轉至一般病房，目前手術傷口疼痛影響睡眠，協助睡眠的處置下列何者適當？①必要時依醫囑給予 Acetaminophen 500 mg\u002Ftab 1 顆 ②睡前給予喝溫紅茶牛奶或吃小點心 ③睡前 1 小時執行四肢關節活動訓練 ④睡前給予溫水拭浴",55,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-069","臺灣護理學會於 1992 年接受行政院衛生署委託辦理「醫院基層護理人員專業能力進階制度」，至今已經在各大醫院實施。小煦畢業後，一直積極參與進階制度培育專業能力，最近她報名參加訓練課程的主題包括：重症病人護理、困難病人護理、醫療糾紛案例討論，小煦正在準備那一個層級的進階？",69,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-027","林小姐因腦血管損傷住院中，靜脈注射在右手背，欲幫林小姐更衣，正確的順序為何？",27,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-071","某護理長負責護理部的品質管理作業，同時負責醫品部的根本原因分析專案業務，此為下列何種組織型態？",71,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-025","有關能量轉移方式的原理和運用之敘述，下列何者正確？",25,112,"2026-09-04",1788510724474]