[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-109-1-基本護理學與護理行政-026","nurse-109-1-fundamental-nursing-026",109,1,26,"李先生體重 60 公斤，輸血醫囑「Blood transfusion PRBC（packed RBC）2 units」，關於其輸血，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"輸血開始後李先生須抽血作血液交叉配合試驗","輸 PRBC 的主要目的是增加體液容積","李先生的輸血時間應大於 4 小時","輸血後李先生的血紅素約可增加 1～1.2 gm\u002FdL","D",null,[],"本題考點在於濃縮紅血球(PRBC)輸血的目的、時限與療效評估。依每單位PRBC可提升血紅素約1–1.2 gm\u002FdL的臨床估值,選項D正確描述其療效。選項A錯在時序,交叉配血須在輸血前完成,而非開始後才抽血;B錯在目的,PRBC主要提升攜氧能力與血紅素,增加體液容積是全血或晶體\u002F膠體溶液的作用;C錯在時間,單袋血品應於4小時內輸完以避免細菌孳生與溶血,而非大於4小時。故正確者為每單位提升血紅素約1 gm\u002FdL,選D。","PRBC每單位約250–300 mL,可提升Hb約1 g\u002FdL、Hct約3%。輸血須ABO\u002FRh相容並完成交叉配血;開始15分鐘慢速觀察反應。單袋須4小時內輸畢,室溫久置增加溶血與感染。要增容積選晶體(N\u002FS)或膠體,要提攜氧才用PRBC。",[25,27,29,31],{"term":26,"count":11},"濃縮紅血球PRBC",{"term":28,"count":11},"血紅素提升1g\u002FdL",{"term":30,"count":11},"輸血時限4小時",{"term":32,"count":11},"交叉配血時序",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-1-fundamental-nursing-027","張先生，腸道手術後第一天，NPO 中，目前使用鼻胃管抽吸引流，引流量多，下列靜脈輸注溶液，何者最適用？",27,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-109-2-fundamental-nursing-043","病人近端右肱骨骨折已接受石膏固定後之運動，下列何者最不適當？",43,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-110-1-fundamental-nursing-057","有關目標管理的敘述，下列何者錯誤？",57,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-fundamental-nursing-015","護理師依照醫囑給予病人 Inteban 1 # Supp. St.退燒時，下列敘述何者正確？",15,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-fundamental-nursing-059","下列何者屬於護理長層級的管理決策？",59,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-fundamental-nursing-023","有關協助病人維持良好姿勢的原則，下列敘述何者正確？",23,113,3,"2026-09-04",1788510711848]