[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-056":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-056","nurse-109-2-fundamental-nursing-056",109,2,56,"接受安寧居家照護的臨終病人，其意識不清，且出現瀕死嘎嘎音（death rattle）時之處置，下列敘述何者適當？",{"A":15,"B":16,"C":17,"D":18},"呼叫 119 送醫院急診","調高氧氣濃度","協助採半坐臥頭側一邊","協助抽痰避免嗆咳","C",null,[],"本題考點是瀕死嘎嘎音（death rattle）的安寧處置原則。嘎嘎音源自意識不清病人無法自行清除咽喉分泌物、氣流通過所致，安寧照護以舒適為主，處置重「姿位引流」，故C協助採半坐臥、頭側一邊利分泌物流出、避免嗆咳，最適當，選C。A呼叫119送急診違反安寧居家的緩和照護目標。B調高氧氣濃度無助於清除分泌物、亦非缺氧問題。D抽痰對意識不清瀕死者刺激大、增加痛苦，非首選。故最適當為C。","延伸：death rattle常見於臨終前24–48小時，處置優先為改變姿勢（側臥或頭偏一側）、減少人工給水以降低分泌；藥物可用抗膽鹼類（如hyoscine、glycopyrrolate）抑制分泌。家屬衛教「聲音對病人多無痛苦」以緩焦慮。記憶：嘎嘎音「翻身側頭、減水、抗分泌、勿強抽痰」。可連結：安寧緩和條例、臨終症狀控制。",[25,28,30,33],{"term":26,"count":27},"安寧緩和照護",5,{"term":29,"count":11},"姿位引流",{"term":31,"count":32},"瀕死嘎嘎音",1,{"term":34,"count":32},"分泌物處理",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-2-fundamental-nursing-057","組織的傳統管理理論與修正管理理論的差異，下列敘述何者正確？",57,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-fundamental-nursing-073","病人因水腫氣喘至急診求助，經檢傷分類後至內科急診區域等候。護理師幫該病人抽血後，等候 50 分鐘才取得抽血報告。家屬因不耐久候、情緒失控，大吵大鬧。約 10 分鐘後醫師來看病人並解說病情。家屬抱怨等了 2 個小時，非常生氣，不聽醫療人員的說明。醫師見狀「冷處理」，家屬情緒更加激動。根據上述情境，醫師為了等待抽血結果才能進行後續醫療處置，但病人家屬是希望醫師趕快緩解病人氣喘及水腫的問題。依據 Daft & Marcic（2001）之分類，此為下列何種原因所產生的衝突？",73,110,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-111-1-fundamental-nursing-007","下列何者不是主觀症狀（subjective symptom）？",7,111,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-112-1-fundamental-nursing-045","護理師為病人執行鼻胃管灌食，下列措施何者錯誤？",45,112,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-113-1-fundamental-nursing-039","護理長舉辦護理師最佳服務票選活動，獲最高票者的名字與相片會張貼於佈告欄以資鼓勵。依馬斯洛需要層級理論，此活動最可以滿足下列何種需求？",39,113,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-114-2-fundamental-nursing-033","傳染性病人出院後，病人單位的終期消毒（terminal disinfection）方式，下列何者正確？",33,114,"2026-09-04",1788510715977]