[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":67},"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-008","nurse-110-1-fundamental-nursing-008",110,1,8,"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",{"A":15,"B":16,"C":17,"D":18},"①②","②③","②④","③④","C",null,[],"本題考點是各護理措施所需的無菌等級。依無菌原則，氣管內插管抽痰進入無菌的下呼吸道、胰島素注射刺穿皮膚將藥物送入組織，兩者皆須採外科(完全)無菌技術以防病原侵入無菌部位，即②④，故選C。胃造瘻灌食與結腸造瘻灌洗所通往的消化道本非無菌部位，採內科清潔原則即可。故需外科無菌者為②④，其餘為清潔技術，答案為C。","判別原則：凡侵入或接觸人體「無菌部位」(血流、下呼吸道、泌尿道、體腔、破損皮膚下組織)者採外科無菌；接觸與外界相通、本即帶菌的部位(腸胃道、造瘻口皮膚外側)採內科清潔即可。抽痰經無菌氣道故無菌、注射刺穿皮膚屏障故無菌；灌食灌洗進入消化腔道故清潔。以「目標部位是否無菌」為分類鑰匙最不易錯。",[25,28,31,33,35],{"term":26,"count":27},"外科無菌",5,{"term":29,"count":30},"胰島素注射",2,{"term":32,"count":11},"內科清潔",{"term":34,"count":11},"氣管內抽痰",{"term":36,"count":11},"無菌部位判別",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-1-fundamental-nursing-009","當醫療院所開始發生火災時，護理人員依 RACE 的原則進行臨場處置，其中 A 是指：",9,{"webId":43,"stem":44,"number":45,"year":10,"session":30},"nurse-110-2-fundamental-nursing-025","護理師收集病人主觀資料和客觀資料，下列敘述何者正確？",25,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-111-1-fundamental-nursing-039","下列何種疾病或情況的病人不會採端坐呼吸？",39,111,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-112-1-fundamental-nursing-077","依據 Hersey 及 Blanchard（1993）提出的情境領導理論，領導者應依下列何種要素來決定領導型態？",77,112,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-113-2-fundamental-nursing-021","有關膀胱灌洗的目的，下列何者錯誤？",21,113,{"webId":62,"stem":63,"number":64,"year":65,"session":66},"nurse-114-3-fundamental-nursing-015","有關輸血的注意事項，下列何者最適當？",15,114,3,"2026-09-04",1788510719918]