[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-108-1-基本護理學與護理行政-002","nurse-108-1-fundamental-nursing-002",108,1,2,"承上題，林小姐呼吸喘、咳嗽加劇，經胸腔 X 光顯示右下葉肺炎及肋膜積水，施行胸腔放液穿刺術合併胸管留置，當您協助更換病人胸管傷口敷料時，下列措施何者正確？",{"A":15,"B":16,"C":17,"D":18},"無菌容器打開後，先將蓋子置放於桌面上備用，無需蓋回，以免手忙腳亂污染無菌區域","拆開無菌敷料，以手指抓出敷料角落，離無菌區域 10～15 公分處放入無菌容器內","戴上無菌手套後的雙手應保持在膝蓋以上、視線範圍以內","非無菌物品應遠離無菌區至少 1～2 吋","D",null,[],"本題考點為無菌技術的原則。依無菌區維持原則，非無菌物品須與無菌區保持至少1至2吋（約2.5至5公分）距離以免污染，故D正確。A無菌容器蓋子打開後不可將內面朝下平放桌面，應內面朝上拿在手中或內面朝上置放，直接放桌面會使蓋子內面污染；B取用無菌敷料應以無菌鑷子夾取，以手指抓取敷料等於污染，且應在無菌區上方約15至20公分處投入，用手指抓的敘述本身即違反無菌；C戴上無菌手套後雙手應維持在腰部以上、視線範圍以內，而非「膝蓋以上」，膝蓋以下屬污染區。故僅D符合無菌原則。","無菌技術三大空間界線要記牢：無菌區的邊緣約2.5公分內視為污染、雙手須保持在腰部（waist）以上且不離開視線、任何物品越過無菌區上方或低於腰部即污染。鑷子夾取與距離投入是為避免手部或衣物碰觸無菌面。把「膝蓋」換成「腰部」是常見改字陷阱，讀選項時特別留意界線用詞。",[25,28,30,32],{"term":26,"count":27},"無菌技術",6,{"term":29,"count":11},"無菌區界線",{"term":31,"count":11},"腰部以上原則",{"term":33,"count":11},"污染判定",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-003","承上題，林小姐住院已經 5 天，病情未見好轉，心情沮喪，擔心家人受感染，但又期盼家人的陪伴，常在夜裡哭泣，針對此現象，下列何項護理措施較為合適？",3,{"webId":40,"stem":41,"number":42,"year":10,"session":12},"nurse-108-2-fundamental-nursing-019","病人接受化學治療時，護理師評估注射部位是否有紅腫以助確認是否有化學藥物滲漏，此照護措施符合下列何者護理倫理原則？",19,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-033","協助王老先生執行床上擦澡，下列敘述何者正確？",33,109,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-110-1-fundamental-nursing-071","因個人擁有高度專業知識技能而贏得部屬的尊敬和信從，是屬於下列何種影響力？",71,110,{"webId":54,"stem":55,"number":56,"year":57,"session":12},"nurse-111-2-fundamental-nursing-035","陳小姐術後留置導尿管，月經來潮，協助執行床上會陰沖洗，下列敘述何者正確？",35,111,{"webId":59,"stem":60,"number":61,"year":62,"session":12},"nurse-112-2-fundamental-nursing-069","組織成員只向一位主管負責，且有明確工作職掌及呈報系統，符合下列何種組織結構設計的原則？",69,112,"2026-09-04",1788510708771]