[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-034":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-034","nurse-108-2-fundamental-nursing-034",108,2,34,"病人接受靜脈輸液治療，目前出現流速變慢，且沿著靜脈走向出現發紅且有觸痛感，此時應提供的立即處置為何？",{"A":15,"B":16,"C":17,"D":18},"注射部位給予 1：1000 黃藥水濕冷敷","沿著靜脈給予輕柔按摩","停止輸液，更換新設備重新注射","抬高肢體，注射部位給予熱敷","C",null,[],"本題考點為靜脈注射部位併發症中「靜脈炎(phlebitis)」的辨識與立即處置。輸液流速變慢、沿靜脈走向出現發紅與觸痛,是靜脈炎的典型表現,正確處置為立即停止該處輸液、拔除導管並更換新設備於他處重新注射,選C。A黃藥水濕冷敷、D抬高肢體加熱敷屬拔除後的後續舒緩,並非首要。B沿靜脈輕柔按摩錯:按摩可能使發炎處血栓鬆脫、增加栓塞風險,為禁忌。發現靜脈炎的首要動作是終止刺激來源(停止並移除該靜脈輸液),再處理局部不適。","靜脈注射常見併發症辨識:靜脈炎(紅、腫、熱、痛,沿靜脈條索狀發紅,流速漸慢)、滲漏\u002F外滲(注射處腫脹、蒼白冰冷、無回血)、循環負荷過量(水腫、呼吸短促、血壓上升)。靜脈炎處置口訣:停(停輸液)、拔(移除導管)、換(他處重打)、敷(局部濕熱敷緩解)。禁按摩以防血栓脫落。預防面向:選擇合適導管與靜脈、無菌技術、避免刺激性或高滲藥物濃度過高、定期更換部位並以VIP score評估。",[25,28,30,33],{"term":26,"count":27},"靜脈炎",3,{"term":29,"count":11},"禁止按摩",{"term":31,"count":32},"靜脈注射併發症",1,{"term":34,"count":32},"立即處置",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-035","靜脈輸液時，下列那些症狀或徵象與循環負荷過量（circulatory overload）有關？①水腫 ②脈搏變慢而強 ③血壓下降 ④呼吸短促",35,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-fundamental-nursing-051","有關臨終病人常見的生理變化，下列敘述何者正確？",51,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-065","下列何者不屬於職業災害的要件？",65,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-fundamental-nursing-023","若病人手臂靜脈不明顯且不易穿刺，可以採取下列那些措施以擴張血管？",23,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-fundamental-nursing-067","有關組織結構的敘述，下列何者正確？",67,112,{"webId":60,"stem":61,"number":32,"year":62,"session":11},"nurse-113-2-fundamental-nursing-001","有關護理教育在促進護理專業持續發展的現況敘述，下列何者錯誤？",113,"2026-09-04",1788510705790]