[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-109-2-內外科護理學-076","nurse-109-2-medical-surgical-076",109,2,76,"有關「臺灣急診檢傷與急迫度分級量表」（TTAS）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"復甦急救等級：每 10 分鐘評估一次","非緊急等級：每 120 分鐘評估一次","緊急等級是屬於第二級","緊急等級：每 90 分鐘評估一次","B",null,[],"本題考點是臺灣急診檢傷與急迫度分級量表（TTAS）五級的再評估頻率與分級。TTAS第五級「非緊急」病情最穩定，再評估間隔最長，為每120分鐘一次，故選項B正確。選項A錯在第一級「復甦急救」病情最危急，需持續監測而非每10分鐘；選項C錯在「緊急」屬第三級而非第二級（第二級為危急）；選項D錯在第三級緊急的再評估頻率約每30分鐘，而非90分鐘。故正解為B。","TTAS把急診病人依急迫度分五級，級數愈小愈危急、監測愈密：第一級復甦（立即、持續監測）、第二級危急（約每10～15分鐘）、第三級緊急（約每30分鐘）、第四級次緊急（約每60分鐘）、第五級非緊急（約每120分鐘）。記憶口訣可用『1持續、2十五、3三十、4六十、5一二零』抓再評估節奏。其設計精神是有限醫療資源下先救最危急者，並藉定期再評估捕捉病情惡化。臨床上檢傷是急診品質與病人安全的第一道關卡，護理師須熟記級別對應的處置時效。",[24,27,30,32],{"term":25,"count":26},"TTAS檢傷分級",3,{"term":28,"count":29},"非緊急等級",1,{"term":31,"count":29},"再評估頻率",{"term":33,"count":29},"急診檢傷",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-077","有關敗血症生理病理機轉之敘述，下列何者正確？",77,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-2-medical-surgical-013","有關上腸胃道攝影的敘述，下列何者正確？①檢查前無需禁食 ②檢查前需清潔灌腸 ③檢查後多喝開水以促使鋇劑排出 ④檢查後 2～3 天可能解白色糞便，為正常反應",13,110,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-111-1-medical-surgical-027","王先生經醫生診斷為柏格氏病（Buerger’s Disease），下列敘述何者正確？",27,111,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-1-medical-surgical-065","有關輸尿管結石常見之臨床症狀，下列何者錯誤？",65,112,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-113-2-medical-surgical-009","有關急性膽囊炎病人的疼痛評估與處置，下列何者正確？",9,113,{"webId":60,"stem":61,"number":26,"year":62,"session":26},"nurse-114-3-medical-surgical-003","有關阿茲海默症的早期臨床表徵，下列敘述何者正確？①對人和周遭發生的事件興趣降低 ②無法進行簡單的計算 ③學習新事物之能力降低 ④工作表現變差 ⑤夜間活動增加",114,"2026-09-04",1788510716999]