[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-021","nurse-108-2-fundamental-nursing-021",108,2,21,"關於臨床護理紀錄的原則，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"採電子病歷，護理師完成紀錄後，需在 48 小時內使用衛生福利部醫事人員憑證 IC 卡完成簽章","紙本紀錄書寫錯誤時，需在錯誤處畫線，並在上方註明“error”及簽名","護理師於 11AM 時依臨時醫囑到病人單位執行灌腸，11：30AM 結束，有關灌腸護理紀錄時間欄應呈現 11AM","護理紀錄內容應力求據實客觀描述，排除護理師主觀個人判定","A",null,[],"本題考點為護理紀錄的時效與書寫規範。依電子病歷規定,護理師完成紀錄後應於24小時內以醫事人員憑證IC卡完成電子簽章,而非48小時,故A為錯誤敘述,選A。B正確:紙本書寫錯誤時於錯誤處畫一橫線、上方註明error並簽名,保留原字跡以維持紀錄真實性。C正確:紀錄的執行時間應以實際開始執行為準,11AM開始灌腸即記11AM。D正確:護理紀錄應據實客觀,避免摻入主觀臆測與價值判斷。時效誤植為48小時是本題誤導點。","護理紀錄核心原則:及時(timely)、正確、客觀、完整、可辨識責任。電子簽章於期限內完成,確保紀錄不被事後竄改並可供法律採證。錯誤更正不可塗黑或使用修正液(會被視為湮滅),而以劃線註明error保留可追溯性。時間記錄以事件實際發生時間為準(非書寫當下)。客觀化書寫:記「主訴傷口痛、皺眉呻吟」等可觀察事實,而非「病人很痛苦」的主觀判斷。這些規範共同支撐病歷的法律效力與照護連續性。",[25,28,31,33],{"term":26,"count":27},"護理紀錄原則",4,{"term":29,"count":30},"電子簽章時效",1,{"term":32,"count":30},"病歷更正",{"term":34,"count":30},"客觀紀錄",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-022","護理師處理醫囑 zolpidem（stilnox）1 # P.O. bid，當其對此醫囑有疑問時，下列何者為最適當的處理？",22,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-109-1-fundamental-nursing-038","根據下列四位住院病人之生命徵象測量結果，何者應最優先處理？",38,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-052","下列何者為痰液呈現鐵鏽色之最可能原因？",52,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-1-fundamental-nursing-010","醫囑 Demeral 10 mg I.V. drip St.之含意，下列敘述何者正確？",10,111,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-112-1-fundamental-nursing-054","王先生因肺癌末期，依其各系統生理上出現的變化判定即將臨終，下列敘述何者錯誤？",54,112,{"webId":60,"stem":61,"number":43,"year":62,"session":30},"nurse-113-1-fundamental-nursing-038","顧力克（Luther Gulick）以POSDCoRB七個縮寫字說明行政的內涵，請問下列敘述何者正確？",113,"2026-09-04",1788510705683]