[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-109-2-基本護理學與護理行政-010","nurse-109-2-fundamental-nursing-010",109,2,10,"孫先生昨天開始解尿不順、尿道灼熱感，臉色發紅、皮膚溫暖乾燥，生命徵象：血壓 126 \u002F 76 mmHg、體溫 39.2°C（耳溫）、脈搏 116 次／分、呼吸 26 次／分，孫先生出現發燒現象，下列護理措施何者不適當？",{"A":15,"B":16,"C":17,"D":18},"指導病人減少外在覆蓋物","提供液體以補充無感水分散失","指導多下床活動","協助進行尿液檢驗","C",null,[],"本題考點為發燒病人的護理措施合宜性。依發燒期能量代謝增加、需臥床休息的原則,「指導多下床活動」會增加耗氧與代謝負荷、不利退燒,故 C 不適當,選 C。A 適當,減少覆蓋物有助散熱降溫。B 適當,體溫每升高會增加無感水分散失,補充液體可防脫水。D 適當,病人解尿灼熱且高燒,協助尿液檢驗有助釐清泌尿道感染。此病人耳溫 39.2℃、脈搏 116、呼吸 26,呈典型發燒代償反應。考點在於辨識發燒期應以休息與散熱為主,而非增加活動。","發燒三期護理:發冷期(set point 上調,畏寒顫抖→保暖、勿急速降溫)、發熱高原期(散熱、補水、休息)、退熱期(大量出汗→補液、防虛脫與電解質流失)。體溫每升高 1℃ 基礎代謝約增 10–13%,故臥床減少耗氧為原則。此題病人皮膚溫暖乾燥、臉紅、心跳呼吸加快,屬高原期表現,措施應圍繞散熱補水。",[25,28,30,33],{"term":26,"count":27},"發燒三期",5,{"term":29,"count":11},"發燒護理",{"term":31,"count":32},"臥床休息減少耗氧",1,{"term":34,"count":32},"無感水分散失補液",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-fundamental-nursing-011","有關呼吸特性之敘述，下列何者正確？",11,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-fundamental-nursing-027","林小姐因腦血管損傷住院中，靜脈注射在右手背，欲幫林小姐更衣，正確的順序為何？",27,110,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-110-2-fundamental-nursing-041","為老年病人執行背部護理時，下列何者不適當？",41,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-111-2-fundamental-nursing-079","護理師平時表現不錯，於年終考核期間，與護理長在新進人員教學方法上意見相左，產生爭執，因而考核得到乙等。屬於下列何種績效考核偏誤？",79,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-fundamental-nursing-043","由受過訓練的護佐或照顧服務員協助護理師執行病人日常生活與照護，此屬於下列何種照護模式？",43,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-114-1-fundamental-nursing-037","彼得杜拉克（Peter F. Drucker）提出的目標管理，屬於下列何種管理模式？",37,114,"2026-09-04",1788510715535]