[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":39,"lastmod":68},"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-110-1-基本護理學與護理行政-007","nurse-110-1-fundamental-nursing-007",110,1,7,"有關病人症狀（symptoms）資料的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"腹部手術部位傷口疼痛","空腹血糖值 180 mg\u002FdL","肺部 X 光檢查有肺泡浸潤現象","痰液結核桿菌試驗呈陽性反應","A",null,[],"本題考點是「症狀(symptom)」與「徵象(sign)」的區辨。依定義，症狀是病人主觀感受、須由本人陳述的資料，傷口疼痛即屬病人主訴的主觀感受，故選A。空腹血糖180 mg\u002FdL、胸部X光的肺泡浸潤、痰液結核桿菌試驗陽性均為可客觀測量或檢驗所得的「徵象」，屬他人可觀察的客觀資料，而非病人自述的主觀症狀。故唯一屬症狀者為A，答案為A。","延伸區辨：症狀(subjective)由病人主觀陳述，如疼痛、噁心、頭暈、疲倦；徵象(objective)是護理人員可經觀察、測量或檢驗取得的客觀資料，如體溫、血壓、檢驗數值、影像結果。護理評估收集主客觀資料時須清楚分類，主觀資料記錄常用病人原話。判別關鍵：能否被他人量測或觀察到即為徵象。",[25,28,31,34,37],{"term":26,"count":27},"護理評估",15,{"term":29,"count":30},"客觀資料",14,{"term":32,"count":33},"主觀資料",13,{"term":35,"count":36},"症狀與徵象",2,{"term":38,"count":11},"資料分類",[40,44,48,53,58,63],{"webId":41,"stem":42,"number":43,"year":10,"session":11},"nurse-110-1-fundamental-nursing-008","下列何項護理措施，需採外科無菌原則？①胃造瘻灌食 ②氣管內插管抽痰 ③結腸造瘻灌洗 ④胰島素注射",8,{"webId":45,"stem":46,"number":47,"year":10,"session":36},"nurse-110-2-fundamental-nursing-024","陳女士，50 歲，罹患糖尿病多年，下肢現有 5×3×2 公分潰瘍性傷口，傷口分泌物惡臭有腐肉，入院進行傷口清創手術，其護理目標之訂定，下列何者最適當？",24,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-111-1-fundamental-nursing-038","關於影響呼吸速率之相關因素的敘述，下列何者正確？",38,111,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-1-fundamental-nursing-076","有關組織控制幅度（span of control）的敘述，下列何者正確？",76,112,{"webId":59,"stem":60,"number":61,"year":62,"session":36},"nurse-113-2-fundamental-nursing-020","尿液 pH 值過低的可能原因，下列何者正確？①呼吸性鹼中毒 ②代謝性酸中毒 ③飢餓 ④泌尿道感染",20,113,{"webId":64,"stem":65,"number":30,"year":66,"session":67},"nurse-114-3-fundamental-nursing-014","使用冷熱治療，病人對溫度耐受性的影響因素，下列敘述何者最適當？",114,3,"2026-09-04",1788510719914]