[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-035":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-035","nurse-108-1-fundamental-nursing-035",108,1,35,"協助病人更衣的步驟，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"協助右手受傷病人脫衣時，應先脫左手再脫右手衣袖","協助右手靜脈點滴注射之病人穿衣時，應先穿左手再穿右手衣袖","協助左腿受傷病人脫褲時，應先脫左側再脫右側褲管","協助左腿受傷病人穿褲時，應先穿右腿再穿左腿褲管","A",null,[],"本題考點是穿脫衣褲的基本原則:「脫衣先健側後患側,穿衣先患側後健側」。原則的依據是讓活動受限的患側在穿衣時先進、脫衣時後出,以減少患肢牽扯與疼痛。A右手受傷屬患側,脫衣時先脫左手(健側)再脫右手(患側),符合「脫先健後患」,故選A。B右手有靜脈點滴視同患側,穿衣應先穿右手(患側)再左手,選項卻先穿左後穿右,順序顛倒,錯誤;C左腿受傷屬患側,脫褲應先脫右側(健側)再脫左側,選項先脫左(患側)違反原則,錯誤;D左腿受傷穿褲應先穿左腿(患側)再穿右腿,選項先穿右腿也顛倒,錯誤。掌握口訣即可一眼判斷,唯A方向正確。","記憶口訣:「患側先穿、健側先脫」,或簡記「脫健穿患」。原理是穿衣動作幅度大、患肢先套入時關節活動需求最小;脫衣時患肢最後退出,同樣減少牽拉。臨床延伸:凡有靜脈留置針、石膏、麻痺或術後肢體,一律視為患側處理。此原則也適用於協助中風偏癱、骨折、關節置換病人更衣,可連結身體活動與復健護理章節。",[25,28,30,32],{"term":26,"count":27},"脫健穿患",2,{"term":29,"count":11},"穿脫衣原則",{"term":31,"count":11},"患側",{"term":33,"count":11},"身體活動護理",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-036","有關灌腸的禁忌症，下列何者錯誤？",36,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-108-2-fundamental-nursing-052","腦死判定時，有關腦幹反射功能的測試應包括下列何者？",52,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-066","下列何者不是功能性護理的優點？",66,109,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-110-2-fundamental-nursing-024","陳女士，50 歲，罹患糖尿病多年，下肢現有 5×3×2 公分潰瘍性傷口，傷口分泌物惡臭有腐肉，入院進行傷口清創手術，其護理目標之訂定，下列何者最適當？",24,110,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-111-2-fundamental-nursing-068","有關護理長授權給單位組長執行的任務，下列何者最適當？",68,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-fundamental-nursing-022","病人接受化學治療導致口腔黏膜潰瘍、疼痛及有異味，相關照護措施下列何者正確？",22,112,3,"2026-09-04",1788510709061]