[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-015":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-015","nurse-108-2-fundamental-nursing-015",108,2,15,"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？",{"A":15,"B":16,"C":17,"D":18},"協助上下床時，需將床面升高到家屬的腰部","便盆椅不用時，勿置放於病床邊","採坐起、站立於床邊之漸進式下床活動","下床活動時應穿著防滑鞋子","A",null,[],"本題考點為預防跌倒的環境與活動安全措施。中風後單側肢體無力者下床風險高,床面高度應調整到病人坐於床緣時雙腳能平踏地面的高度,而非配合家屬腰部,故A為錯誤敘述,選A。B正確:便盆椅等用物不用時移離床邊,可減少絆倒與碰撞。C正確:採坐起—床緣站立—行走的漸進式下床,能預防姿勢性低血壓造成的頭暈跌倒。D正確:穿防滑鞋可降低地面濕滑或步態不穩時滑倒的風險。床面過高會使病人下床時懸空、重心不穩而增加跌倒風險。","跌倒預防扣住兩主軸:環境(床高、地面、照明、障礙物、扶手)與病人(肌力、平衡、姿勢性低血壓、藥物)。「床緣坐—站—走」的漸進活動是為對抗姿勢性低血壓:久臥後突然起身,血液滯留下肢、腦部灌流不足而暈厥。床高原則是雙足能踏地、膝略高於髖,下肢可穩定承重。防滑鞋、移除輪椅便盆椅、夜間留燈與床欄使用共同構成跌倒防護網。",[25,28,30,33],{"term":26,"count":27},"姿勢性低血壓",4,{"term":29,"count":11},"床面高度",{"term":31,"count":32},"跌倒預防",1,{"term":34,"count":32},"漸進式下床",[36,40,45,49,53,58],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-016","針對不同醫療情境的合宜室溫之調節，下列敘述何者正確？",16,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-fundamental-nursing-032","吳爺爺因中風長期臥床，有長期便秘情形，目前 Senokot（Senna）2＃po HS 使用，近日肛門口會不自主滲出少量糞水、有便意感、腹痛，下列措施何者最適當？",32,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-046","有關影響營養狀況之因素，下列何者正確？",46,{"webId":50,"stem":51,"number":27,"year":52,"session":32},"nurse-111-1-fundamental-nursing-004","有關外科無菌的定義，下列敘述何者正確？",111,{"webId":54,"stem":55,"number":56,"year":57,"session":32},"nurse-112-1-fundamental-nursing-048","王先生因車禍骨折右下肢進行皮膚牽引，為避免患肢發生血栓性靜脈炎，可教導病患執行下列何種活動？",48,112,{"webId":59,"stem":60,"number":43,"year":61,"session":32},"nurse-113-1-fundamental-nursing-032","有關遺體護理的敘述，下列何者最不適當？",113,"2026-09-04",1788510705631]