[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-006","nurse-108-1-fundamental-nursing-006",108,1,6,"有關預防住院老人走失的措施，下列何者最為適切？",{"A":15,"B":16,"C":17,"D":18},"將病人的病室房門鎖上","依醫囑給予抗焦慮劑","提供聽覺及視覺刺激","將病人安排距護理站最近的病房","D",null,[],"本題考點為預防住院老人走失的安全措施與其合理性。依病人安全與去約束原則，將易走失或認知障礙的老人安置在最靠近護理站的病房，方便護理人員就近觀察、及時發現離床行為，是兼顧安全又不侵犯自由的最適切做法，故選D。A將病室房門上鎖屬約束與監禁，違反病人自由與逃生安全；B依醫囑給予抗焦慮劑並非針對走失問題，且可能造成鎮靜、跌倒與譫妄，不宜作為預防走失手段；C提供聽覺及視覺刺激與「預防走失」沒有直接因果關係，甚至過度刺激可能加重躁動。故最適切者為D。","老人走失多與失智、譫妄或環境陌生有關，處理原則是「增加觀察、減少約束」。安置於護理站附近屬環境改造式的安全策略，符合最少限制原則；鎖門、鎮靜劑都是限制性或藥物性手段，屬最後或不當選項。臨床亦會搭配辨識手圈、離床警報等，核心精神都是「看得到、能及時介入」而非「關起來」。",[25,28,30,32],{"term":26,"count":27},"病人安全",17,{"term":29,"count":11},"預防走失",{"term":31,"count":11},"最少限制原則",{"term":33,"count":11},"去約束",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-007","王老先生因為下肢動脈血管粥狀硬化導致大範圍的傷口，需要執行截肢手術，但家屬考量病人高齡而拒絕接受手術，表示只要接受傷口換藥即可，家屬的決定可能違反下列那一項護理倫理原則？",7,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-108-2-fundamental-nursing-023","王先生為脊髓損傷病人，臀部有一久未癒合 10×8×4 cm 3 的傷口，入院時抱怨：「傷口都好幾個月了，怎麼都不會好？」。下列何者為護理師應最優先執行之護理措施？",23,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-109-1-fundamental-nursing-037","有關成人耳溫及其測量的敘述，下列何者錯誤？",37,109,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-110-1-fundamental-nursing-075","有關各成本項目之歸屬，下列何者正確？",75,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-fundamental-nursing-039","關於換氣過度（hyperventilation）的特徵，下列敘述何者正確？①一種較正常慢而淺的呼吸 ②一種深而快的呼吸 ③造成血液中 CO 2 下降，而 O 2 上升 ④造成血液中 O 2 下降，而 CO 2 上升",39,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-fundamental-nursing-073","有關提升護理生產力的敘述，下列何者正確？",73,112,"2026-09-04",1788510708797]