[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-037","nurse-109-2-fundamental-nursing-037",109,2,37,"蘇太太中風、肢體偏癱住院，家屬認為病人乃因天冷保暖不足才會中風，因此給予其穿四件衣服、戴毛帽，現病人冒汗，身上有異味，護理師欲協助減少衣物，但家屬拒絕，下列護理措施何者最為合適？",{"A":15,"B":16,"C":17,"D":18},"告訴家屬對中風的理解有誤，強制給予減少病人身上衣物","給予病人使用爽身粉，吸附汗液促進皮膚乾燥","給予電扇調整室內溫度，以促進汗液蒸發","以乾毛巾擦拭病人身體，內層衣物如果潮濕就應更換","D",null,[],"本題考點為兼顧病人清潔舒適與家屬文化信念的護理處置。中風偏癱病人穿著過多而冒汗、有異味，家屬因保暖信念拒絕減衣，最合適的是不與家屬正面衝突、又能維持皮膚清潔的做法：以乾毛巾擦拭身體、內層衣物潮濕即更換，選D。選項A強制減衣違背尊重家屬與溝通原則；選項B爽身粉遇汗結塊、堵塞毛孔且吸入有疑慮，非首選；選項C以電扇直吹中風病人易致寒顫與不適，且未解決汗濕衣物問題。核心在維持乾爽清潔且尊重家屬的兩全處置。","本情境結合文化照護與皮膚完整性：護理處置須尊重家屬信念、避免衝突，同時確保病人安全舒適。優先擦乾並更換潮濕衣物，既維持皮膚乾爽、預防浸潤與壓傷，又不直接對抗家屬。溝通策略可採漸進衛教而非強制。爽身粉遇汗結塊、電扇直吹中風病人易致寒顫，皆非首選。原則：在文化尊重下找兼顧安全的折衷方案。",[25,28,30,32],{"term":26,"count":27},"清潔舒適護理",1,{"term":29,"count":27},"文化敏感與家屬溝通",{"term":31,"count":27},"汗濕衣物更換",{"term":33,"count":27},"爽身粉使用疑慮",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-038","執行成人女性無菌導尿技術之敘述，下列何者正確？",38,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-110-1-fundamental-nursing-054","有關臨終病人的生理變化，下列何者正確？",54,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-068","某醫院癌症中心副主任在組織架構中屬於癌症中心，但升遷、薪水發放屬於護理部。此種組織結構是屬於下列那一種？",68,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-112-1-fundamental-nursing-026","用冷會降低炎症過程的主要原理，下列何者正確？",26,112,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-113-1-fundamental-nursing-020","有關結腸灌洗（colon irrigation）目的之相關敘述，下列何者錯誤？",20,113,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-114-2-fundamental-nursing-014","醫囑給予 2.5% Glucose Water 170 mL\u002Fday 靜脈輸液，以靜脈輸液幫浦給予，其速率設定約為多少？",14,114,"2026-09-04",1788510715802]