[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":62},"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-108-2-基本護理學與護理行政-014","nurse-108-2-fundamental-nursing-014",108,2,14,"有關臺灣 2012 年修訂的「腦死判定準則」，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可逆與不可逆之昏迷均適用","先決條件為陷入昏迷指數≦5","病人需依賴人工呼吸器維持呼吸","應進行兩次程序相同之判定性腦幹功能測試","A",null,[],"本題考點為我國腦死判定準則的先決條件。腦死是全腦功能不可逆喪失,故僅適用「不可逆」昏迷,必須先排除低體溫、藥物中毒、代謝異常等可逆原因,「可逆與不可逆昏迷均適用」違反此原則,為錯誤敘述,選A。B正確:先決條件包含深度昏迷、昏迷指數(GCS)≦5。C正確:病人須已無自發呼吸、依賴人工呼吸器維持。D正確:須進行兩次程序相同的判定性腦幹功能測試(含腦幹反射與無呼吸試驗),兩次皆符合方能判定。","腦死判定核心是證明「全腦(尤其腦幹)功能不可逆停止」。先決條件:已知不可逆的結構性腦病變、排除可逆因素(低溫、鎮靜藥、電解質\u002F內分泌異常)、深度昏迷且靠呼吸器維持。判定測試查腦幹反射(瞳孔對光、角膜、頭眼、前庭動眼、咳嗽\u002F嘔吐反射)全消失,並做無呼吸測試(apnea test)確認無自發呼吸。兩次判定確保非暫時性。與「植物人」差異:植物人腦幹仍有功能、能自行呼吸,並非腦死。",[25,28,31,33],{"term":26,"count":27},"腦死判定準則",3,{"term":29,"count":30},"不可逆昏迷",1,{"term":32,"count":30},"腦幹功能測試",{"term":34,"count":30},"無呼吸測試",[36,40,45,49,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-015","教導家屬預防腦中風後左側肢體無力之老人跌倒之照護措施，下列何者錯誤？",15,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-109-1-fundamental-nursing-031","下列何種措施可預防泌尿道感染？①鼓勵膀胱漲尿後再解尿 ②以淋浴代替盆浴 ③執行 Kegel’s 會陰肌肉運動 ④性活動前後均應解尿",31,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-045","夢境發生在下列那一睡眠生理週期，醒後最容易記得？",45,{"webId":50,"stem":51,"number":27,"year":52,"session":30},"nurse-111-1-fundamental-nursing-003","護理師舖床協助病人執行移位時，下列原則何者正確？",111,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-112-1-fundamental-nursing-047","依照我國護理人員法第 24 條之規定，護理人員的業務範圍不包括下列何者？",47,112,{"webId":59,"stem":60,"number":43,"year":61,"session":30},"nurse-113-1-fundamental-nursing-031","病人因車禍骨折，目前右手上石膏固定，為了避免病人的右手肌肉萎縮，應教導病人的患肢做何種運動？",113,"2026-09-04",1788510705627]