[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"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-018","nurse-108-1-fundamental-nursing-018",108,1,18,"護理師發藥時發現病人上一餐的藥物忘記服用，則該如何處理較合宜？",{"A":15,"B":16,"C":17,"D":18},"請病人將上一餐藥物服下，這次藥物不用給","將上一餐藥物收回，並做護理記錄及交班","請醫師將口服藥改成注射藥以免病人藏藥","請病人將藥物帶回，提醒家屬督促病人服藥","B",null,[],"本題考點為漏服藥物的正確處理原則。依給藥安全原則，發現病人上一餐藥物漏服時，不應自行補服或延後合併，應將該次藥物收回、據實填寫護理記錄並於交班時說明，必要時知會醫師評估，故選B。A請病人補服上一餐藥、這次不給，等於自行更動給藥時間與間隔，可能造成血中濃度不當或漏掉本次劑量，不安全；C因病人漏服就把口服改為注射，屬逾越護理權限的醫囑變更，且與防藏藥無必然關聯；D把藥交病人帶回由家屬督促，未落實給藥責任與紀錄。故最合宜者為收回並記錄交班的B。","給藥安全的核心是誠實記錄與不擅自更動醫囑。漏服藥的通則是不隨意補服（避免劑量重疊或間隔錯亂），改以記錄、交班、必要時報告醫師由其判斷是否補給。任何改變給藥途徑或劑量都須有醫囑。此題也呼應用藥五對與異常事件據實通報的精神，隱瞞或自行處置才是最大風險。",[25,28,30,32],{"term":26,"count":27},"給藥安全",9,{"term":29,"count":11},"漏服藥處理",{"term":31,"count":11},"護理記錄與交班",{"term":33,"count":11},"醫囑權限",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-019","醫囑「Demerol 40 mg IM Q6H PRN」，Demerol 製劑為 50 mg\u002F1 mL\u002FAmp，有關此醫囑的執行，下列敘述何者正確？",19,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-108-2-fundamental-nursing-035","靜脈輸液時，下列那些症狀或徵象與循環負荷過量（circulatory overload）有關？①水腫 ②脈搏變慢而強 ③血壓下降 ④呼吸短促",35,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-109-1-fundamental-nursing-049","某病人需進行收集血液檢體以進行血液培養，下列敘述何者錯誤？",49,109,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-110-2-fundamental-nursing-007","承上題，游奶奶術後第一天生命徵象的改變，下列敘述何者正確？",7,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-fundamental-nursing-051","一位持續發燒被懷疑敗血症的新入院病人，醫師為確認其診斷及治療，開立了「check blood culture × II 套 St.」，在實際執行該項醫囑之檢體收集時，下列敘述何者錯誤？①應先施打抗生素後再進行該項檢體收集 ②檢體注入收集瓶前應先以碘酒（iodine tincture）消毒瓶口 ③為免病人疼痛，兩套檢體於同時間同部位抽取 ④抽取到的檢體先注入需氧菌培養瓶中 ⑤檢體注入培養瓶前應先更換無菌針頭",51,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-fundamental-nursing-005","病人向護理師表示：「我好像都會聽到別人一直叫我去死的聲音，怎麼辦？」如果護理師使用「重述」的溝通技巧，護理師該如何回應？",5,112,3,"2026-09-04",1788510708900]