[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-040":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-040","nurse-107-2-fundamental-nursing-040",107,2,40,"測量心臟血管疾病成年病人之每分鐘心跳次數，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"應測量心尖脈","常測量橈動脈","聽診右胸第三肋間心音","測量 15 秒心跳數再乘以四","A",null,[],"本題考點為心臟血管疾病病人心跳測量的正確方法。這類病人可能有心律不整或脈搏短絀(心跳未能全部傳導至周邊動脈)，故應直接聽診心尖脈(apical pulse)以取得最準確的每分鐘心跳數，選 A。B 橈動脈測得的是周邊脈搏，遇脈搏短絀會低估真實心跳。C 心尖位置在左胸第五肋間鎖骨中線，聽診『右胸第三肋間』位置錯誤。D 心臟疾病病人應完整測量一分鐘以掌握節律變化，而非測 15 秒乘四，故均不選。","心尖脈聽診位置在左鎖骨中線第五肋間(心尖搏動 PMI 處)。心律不整或心房顫動病人常有脈搏短絀(pulse deficit)——心尖脈快於橈脈，兩者差值反映無效收縮。故心臟病人測心率首選心尖脈且需滿一分鐘；心尖脈與橈脈差可用雙人同步測量，是評估心律不整的臨床技巧。",[25,28,30],{"term":26,"count":27},"心尖脈(apical pulse)",1,{"term":29,"count":27},"脈搏短絀(pulse deficit)",{"term":31,"count":27},"心尖聽診位置",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-041","李太太，80 歲，身高 160 公分，體重 82 公斤，有糖尿病二十多年，以降血糖藥物控制；近日因左腳疼痛，大拇趾已有壞疽發黑情形，無法下床走路，整天臥床休息，有腹瀉情形，故予以包尿布；今早護理師發現李太太的薦骨處有一處 1 × 2 cm 2 的皮膚呈發紅、腫脹和起水泡情形。下列何者不是造成李太太產生壓瘡的危險因子？",41,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-057","日本企業管理博士大內先生（Ouchi）在 1981 年提出 Z 理論，其理論重點的敘述，下列何者正確？ ①參與式決策 ②快速升遷 ③團體價值 ④專業化歷程 ⑤集體責任",57,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-071","影響護理資訊系統發展因素中，「資訊系統上線時，教育訓練不足」是下列那一類因素影響？",71,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-029","下列何種情況下，病人適宜使用熱療？",29,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-073","依品質管理概念發展之先後順序，下列何者排列正確？①品質控制 quality control（QC） ②全面品質管制 total quality control（TQC） ③全面品質管理 total quality management（TQM） ④品質保證 quality assurance（QA）",73,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-027","有關冷熱應用的注意事項，下列何者最正確？",27,112,"2026-09-04",1788510724495]