[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-036","nurse-108-2-fundamental-nursing-036",108,2,36,"下列 4 項術後醫囑，何者是護理師給藥前必須提出強烈的質疑？",{"A":15,"B":16,"C":17,"D":18},"Lactated -Ringer's solution 80mL\u002Fhour I.V.F.","KCl（40 mEq\u002FAmp）20 mEq I.V. push","Gentamycin 60mg in 50 mL D 5 W over 30 minutes I.V.F.","D 5 W 100 mL\u002Fhour I.V.F.","B",null,[],"本題考點為高警訊藥品氯化鉀(KCl)的給藥禁忌。B「KCl 20mEq I.V. push」須提出強烈質疑,選B:氯化鉀嚴禁未稀釋靜脈推注,快速高濃度輸注會造成致命性高血鉀與心律不整、甚至心跳停止,必須稀釋後限速滴注。A乳酸林格氏液80mL\u002Fhr、C Gentamycin 60mg稀釋於50mL D5W滴注30分鐘、D D5W 100mL\u002Fhr,都是常規且安全的靜脈輸注方式,無明顯疑義。辨識重點在「KCl加上I.V. push」這組致命組合,是給藥前必須攔截的醫囑。","氯化鉀給藥鐵律:稀釋、限濃度、限速率、禁推注。快速輸注使血鉀驟升,改變心肌細胞膜電位、抑制傳導,心電圖出現高尖T波、QRS增寬、正弦波,終至心室顫動或停止。周邊靜脈一般濃度≤40mEq\u002FL、速率≤10mEq\u002Fhr並監測心律。口訣「KCl never IV push」。此類高警訊藥還有胰島素、肝素\u002Fwarfarin、高濃度電解質(如高張鈉、鎂)、化療藥,共同特徵是治療窗窄、錯誤即釀重大傷害,需雙人覆核。",[25,28,30,33],{"term":26,"count":27},"給藥安全",9,{"term":29,"count":11},"高警訊藥品",{"term":31,"count":32},"氯化鉀",1,{"term":34,"count":32},"靜脈推注禁忌",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-037","病人因車禍造成頭部外傷且出現腦水腫，下列何者是優先考慮使用的點滴溶液？",37,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-fundamental-nursing-053","羅先生正在接受 D 5 W 靜脈輸注，流速為 180 mL\u002Fhour，羅先生主訴呼吸喘不舒服，護理師發現其頸靜脈怒張，下列措施何項最為優先？",53,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-067","病人分類是根據病人在特定時間內所需照護需求予以分類出不同等級，以護理活動項目設計，換算護理點數，再依點數高低分類病人的嚴重度，這種分類法屬於下列何者？",67,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-fundamental-nursing-025","有關用熱治療所產生全身性反應的敘述，下列何者正確？①血壓上升 ②頭暈 ③呼吸變慢 ④脈搏加速",25,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-fundamental-nursing-069","有關預算基本概念之敘述，下列何者正確？",69,112,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-113-2-fundamental-nursing-003","手術室刷手的操作，應符合那些標準？①內科無菌 ②外科無菌 ③手應高舉至肩上 ④掌部應高於肘部",3,113,"2026-09-04",1788510705819]