[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-025","nurse-108-2-fundamental-nursing-025",108,2,25,"劉先生主訴傷口疼痛，皺眉、呻吟，護理師依臨時醫囑給予 pethidine（demerol）50mg I.M. St.，如以護理焦點紀錄法「pethidine（demerol）50 mg I.M. St.」應記錄於下列何項目中？",{"A":15,"B":16,"C":17,"D":18},"D：data（資料）","A：action（護理行動）","R：response（反應）","T：teaching（護理指導）","B",null,[],"本題考點為焦點護理紀錄(Focus\u002FDAR)的欄位歸屬。DAR分為D(data資料,含主客觀線索)、A(action護理行動,護理師的處置與措施)、R(response病人反應)。依醫囑給予pethidine 50mg肌肉注射,是護理師執行的處置行為,應記於A:action,選B。A的D:data應記病人主訴傷口痛、皺眉呻吟等徵象與症狀。C的R:response記給藥後疼痛是否緩解、有無副作用等病人反應。D:teaching並非DAR的標準欄位。給藥屬「做了什麼」,對應護理行動action。","焦點紀錄以病人問題為焦點(Focus),內容用DAR三段呈現:Data(支持該焦點的主客觀資料)→Action(針對焦點採取的護理措施)→Response(病人對措施的反應與結果)。與PIE、SOAP相比,DAR更聚焦、易連貫問題與成效。判讀訣竅:主訴與觀察值放D;護理師所做的(給藥、換藥、衛教、通報)放A;病人事後變化(疼痛分數下降、症狀改善)放R。給藥是護理行動,故入A。",[25,28,30,32],{"term":26,"count":27},"焦點護理紀錄",1,{"term":29,"count":27},"DAR",{"term":31,"count":27},"護理行動",{"term":33,"count":27},"給藥紀錄",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-fundamental-nursing-026","下列那些項目是徵象（signs）的描述？①眩暈 ②肚子絞痛 ③血壓 130\u002F68 mmHg ④WBC ： 8900\u002FuL ⑤胸部聽診呈爆裂音（crackles） ⑥疲倦無力",26,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-fundamental-nursing-042","低蛋白質飲食適用於下列那些病人？①急性肺炎 ②肝昏迷 ③燒傷 ④尿毒症",42,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-fundamental-nursing-056","接受安寧居家照護的臨終病人，其意識不清，且出現瀕死嘎嘎音（death rattle）時之處置，下列敘述何者適當？",56,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-fundamental-nursing-014","下列那些屬於主觀資料？①家屬描述「他說肚子痛，一直皺眉頭」 ②護生說「病人說他呼吸會喘」 ③護理師觀察到病人解黑便 ④病人血紅素值為 8.8 mg\u002FdL",14,111,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-112-1-fundamental-nursing-058","有關作決策的注意事項，下列敘述何者正確？",58,112,{"webId":59,"stem":60,"number":42,"year":61,"session":27},"nurse-113-1-fundamental-nursing-042","下列那些臨床專業能力訓練課程，屬於N2進階N3層級的訓練重點？①重症病人護理 ②危機處理 ③教學原理與方法 ④護理與法律",113,"2026-09-04",1788510705721]