[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-109-1-基本護理學與護理行政-036","nurse-109-1-fundamental-nursing-036",109,1,36,"一位初入院的病人主訴不適且左側無力，血壓數值右手 148\u002F76 mmHg、左手 120\u002F66 mmHg，下列處置何者較適當？",{"A":15,"B":16,"C":17,"D":18},"測量其雙下肢的血壓","再測量一次雙手血壓","測量不同姿位之血壓","記錄採左手臂血壓值","B",null,[],"本題考點為雙手血壓差異的判讀與正確處置流程。兩手收縮壓差達28 mmHg，超出正常可接受範圍（一般認為小於10 mmHg），測量誤差或病理（如主動脈剝離、鎖骨下動脈狹窄）皆有可能，依「先排除技術性誤差」原則，應先再測一次雙手血壓加以確認，故B正確。A測雙下肢血壓非此時首要。C測不同姿位血壓用於評估姿位性低血壓，與主訴不符。D直接記錄左手值忽略了尚未確認的異常差異，可能誤導病情判讀。","正常雙側收縮壓差小於10 mmHg，若大於10至15 mmHg即具臨床意義，過大時須警覺主動脈剝離、鎖骨下動脈盜血、周邊動脈疾病。測量前先排除壓脈帶大小、手臂高度、袖帶鬆緊等技術因素，正是護理判斷「先確認再上報」的體現。",[25,28,30,32],{"term":26,"count":27},"血壓測量技術",2,{"term":29,"count":11},"雙側血壓差",{"term":31,"count":11},"主動脈剝離",{"term":33,"count":11},"測量誤差排除",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-1-fundamental-nursing-037","有關成人耳溫及其測量的敘述，下列何者錯誤？",37,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-109-2-fundamental-nursing-053","收集男性病人的尿液標本進行尿液培養之敘述，下列何者正確？①將病人晨起第一次解尿的中段尿，置於乾淨尿杯 ②長期導尿者，打開尿袋底端開口，倒出尿液於標本試管內 ③收集好之尿液標本，需在 30 分鐘內送檢 ④懷疑有尿道感染者，宜先收集尿液檢體後再注射抗生素",53,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-110-1-fundamental-nursing-067","選擇品質改善項目之優先順序，下列何者應為優先項目？",67,110,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-2-fundamental-nursing-025","冷療可以抑制炎症反應的主要原理，下列何者正確？",25,111,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-112-2-fundamental-nursing-069","組織成員只向一位主管負責，且有明確工作職掌及呈報系統，符合下列何種組織結構設計的原則？",69,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-fundamental-nursing-033","有關臺灣安寧緩和療護的敘述，下列何者正確？",33,113,3,"2026-09-04",1788510711941]