[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-029":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-029","nurse-108-2-fundamental-nursing-029",108,2,29,"張女士嘔吐，經抽血鉀離子：3.4 mEq\u002FL，醫囑開立 15% KCL （10mEq \u002F 5mL \u002FAmp） 20 mL I.V. push St.，給藥前護理師應針對該醫囑那些項目向醫師作確認？①藥物劑量 ②藥物時間 ③藥物途徑 ④藥物名稱",{"A":15,"B":16,"C":17,"D":18},"①④","②③","①③","②④","C",null,[],"本題考點為給藥安全的五對原則與高警訊藥品氯化鉀(KCl)的正確給法。15% KCL 20mL相當於40mEq,且醫囑為I.V. push(靜脈直接推注);氯化鉀濃注或快速靜脈推注會引發致命性高血鉀與心律不整,絕不可I.V. push,須稀釋後緩慢滴注。故護理師應向醫師確認①藥物劑量與③藥物途徑,選C(①③)。②藥物時間、④藥物名稱在此醫囑並無明顯疑義。劑量偏高與途徑錯誤同時存在,是本題必須質疑的兩大安全要點,凸顯KCl作為高警訊藥品的給藥禁忌。","氯化鉀(KCl)是典型高警訊藥品(high-alert medication),給藥鐵律:必須稀釋、限速、限濃度,禁止未稀釋靜脈推注。快速或高濃度輸注使血鉀驟升,改變心肌細胞靜止膜電位,導致心律不整甚至心跳停止。一般周邊靜脈濃度上限約40mEq\u002FL、速率≤10mEq\u002Fhr,並宜監測心電圖。記憶:「KCl never push」。其他高警訊藥還有胰島素、抗凝劑、高濃度電解質與化療藥。",[25,28,30,33],{"term":26,"count":27},"給藥五對",4,{"term":29,"count":11},"高警訊藥品",{"term":31,"count":32},"氯化鉀給藥禁忌",1,{"term":34,"count":32},"靜脈推注",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-030","陳先生罹患糖尿病，醫囑開立 RI 20U S.C. tid A.C.，以胰島素空針注射之技術，下列何者錯誤？",30,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-fundamental-nursing-046","下列何項檢驗可作為選擇抗生素使用種類的依據？",46,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-060","決策技巧可以透過訓練而習得，下列何種方法可以增進個人的決策技能？①完全採用別人意見 ②尋求合適的諮詢資源 ③採用陌生的眼光看事情 ④學習掌握重要的資訊 ⑤複製自己過去經驗",60,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-fundamental-nursing-018","有關給藥方法敘述，下列何者錯誤？",18,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-fundamental-nursing-062","有關醫療機構之病人安全異常事件通報系統的建置，下列敘述何者最適宜？",62,112,{"webId":60,"stem":61,"number":43,"year":62,"session":32},"nurse-113-1-fundamental-nursing-046","依據我國傳染病防治法第3條規定之傳染病分類，結核病屬於第幾類傳染病？",113,"2026-09-04",1788510705749]