[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-022":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-022","nurse-108-2-fundamental-nursing-022",108,2,22,"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？",{"A":15,"B":16,"C":17,"D":18},"依醫囑按時給藥","詢問病人過去藥物史","與資深護理師討論","與開立醫囑醫師確認","D",null,[],"本題考點為給藥安全中對可疑醫囑的正確處置流程。zolpidem(Stilnox)為安眠鎮靜劑,一般用於睡前,醫囑開為每日兩次(bid)不合常規,護理師對醫囑有疑問時,依給藥責任應直接向開立醫囑的醫師確認、澄清後再執行,選D。A依醫囑按時給藥錯:對可疑醫囑照給違反給藥安全,恐致過度鎮靜。B詢問病人藥物史無法解答醫囑本身是否正確。C與資深護理師討論僅供參考,他人無權確認或更改此醫囑,仍須回到開立者。釐清疑義的權責歸屬在開立醫囑之醫師。","給藥安全奠基於三讀五對與「對醫囑存疑必先澄清」的原則。安眠藥如zolpidem屬短效非苯二氮平類(Z-drug),作用於GABA-A受體助眠,常規為睡前單次;bid易致日間嗜睡、跌倒與譫妄,故屬異常醫囑。處理鏈:發現疑義→暫不執行→向開立醫師確認→必要時循用藥安全通報。護理師雖有拒絕執行明顯錯誤醫囑的義務,但確認與更正的權責仍在開立者本人。",[25,28,31,33],{"term":26,"count":27},"給藥安全",9,{"term":29,"count":30},"可疑醫囑處置",1,{"term":32,"count":30},"zolpidem用法",{"term":34,"count":30},"開立醫囑者確認",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-023","王先生為脊髓損傷病人，臀部有一久未癒合 10×8×4 cm 3 的傷口，入院時抱怨：「傷口都好幾個月了，怎麼都不會好？」。下列何者為護理師應最優先執行之護理措施？",23,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-109-1-fundamental-nursing-039","病人的呼吸開始時短而淺，之後漸漸加深，然後又逐漸下降，直至呼吸暫停或完全停止，呈週期性出現，此種呼吸型態稱為？",39,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-053","收集男性病人的尿液標本進行尿液培養之敘述，下列何者正確？①將病人晨起第一次解尿的中段尿，置於乾淨尿杯 ②長期導尿者，打開尿袋底端開口，倒出尿液於標本試管內 ③收集好之尿液標本，需在 30 分鐘內送檢 ④懷疑有尿道感染者，宜先收集尿液檢體後再注射抗生素",53,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-1-fundamental-nursing-011","一位剛入院且預計明日要進行乳房切除手術的王太太，哭著向護理師表示：「我好害怕，明天可以不要手術嗎？」下列何項敘述最符合同理心的回應？",11,111,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-112-1-fundamental-nursing-055","吳爺爺，肺癌合併腦、骨頭多處轉移，骨轉移疼痛目前有 Morphine 10 mg S.C. q4h+p.r.n.使用，臨終階段出現譫妄、躁動不安之情形，案妻詢問醫療人員：「看他這樣很捨不得，可以用點藥讓他休息一下嗎？」醫療人員如何回應較為適宜？",55,112,{"webId":60,"stem":61,"number":43,"year":62,"session":30},"nurse-113-1-fundamental-nursing-039","護理長舉辦護理師最佳服務票選活動，獲最高票者的名字與相片會張貼於佈告欄以資鼓勵。依馬斯洛需要層級理論，此活動最可以滿足下列何種需求？",113,"2026-09-04",1788510705698]