[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":31,"lastmod":60},"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-109-1-基本護理學與護理行政-006","nurse-109-1-fundamental-nursing-006",109,1,6,"王護理師在白班下班前書寫護理紀錄，內容為：「9 AM T.P.R BP：37.3℃、75 次\u002F分、20 次\u002F分、 128\u002F70 mmHg，於 9：30 Am 主訴已經 4 天未解便，通知 Dr.張，by order 給予 Dulcolax 1# supp. st，在 11：00 Am 解出少許顆粒狀大便，續觀察中\u002FN2 王小美」此護理紀錄最不符合那一項記錄原則？",{"A":15,"B":16,"C":17,"D":18},"組織性","時效性","準確性","真實性","B",null,[],"本題考點在於護理記錄書寫原則中的時效性。時效性要求隨測隨記、依事件發生的即時性完成記錄。此則記錄於白班下班前才一次補寫9AM量測、9:30通報醫師與11AM解便等橫跨數小時的事件,未在事件當下即時登錄,最違反時效性原則,故選B。選項A組織性指內容條理,此記錄依時間先後排列尚屬有序;C準確性指數據與用語正確,文中生命徵象與給藥劑量均具體;D真實性指據實記載,內容並無造假,三者相對無明顯瑕疵,故時效性為最不符合者。","護理記錄常見原則:正確性、真實性、完整性、時效性、組織性。時效性核心是『當下記錄、勿事後追憶』,以避免記憶失真與法律爭議。集中補寫是臨床常見缺失,考點常以『下班前一次寫完』的情境誘導,辨識關鍵在時間差。",[25,28,29,30],{"term":26,"count":27},"護理記錄原則",2,{"term":16,"count":11},{"term":15,"count":11},{"term":18,"count":11},[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-109-1-fundamental-nursing-007","執行成人 bisacodyl（10 mg）l＃ supp. st.給藥時，下列敘述何者正確？",7,{"webId":37,"stem":38,"number":39,"year":10,"session":27},"nurse-109-2-fundamental-nursing-023","給藥之醫囑縮寫及其意義，下列何者正確？",23,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-110-1-fundamental-nursing-037","正常成人之尿餘量應少於多少？",37,110,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-111-1-fundamental-nursing-075","有關護理人員預防醫療糾紛發生之敘述，下列何者正確？",75,111,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-112-2-fundamental-nursing-039","腦部損傷病患，較可能會出現下列何種特殊呼吸型態？①畢歐氏呼吸 ②潮式呼吸 ③庫斯毛耳氏呼吸 ④喟嘆式呼吸",39,112,{"webId":56,"stem":57,"number":58,"year":59,"session":58},"nurse-113-3-fundamental-nursing-003","清除醫院環境中可能孳養微生物的體液、分泌物或溶液等，以降低微生物傳播機會，下列那項措施不適當？",3,113,"2026-09-04",1788510711676]