[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-010","nurse-110-1-fundamental-nursing-010",110,1,10,"有關病人的資料收集及觀察時機，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"晨間護理時可收集到病人的白血球數","傷口換藥時可觀察到感染情形","檢閱體溫紀錄單時可觀察到病人排尿困難","測量生命徵象時可觀察病人的人際關係","B",null,[],"本題考點是不同資料在適當時機的觀察可行性。依臨床評估，傷口換藥時可直接觀察傷口有無紅腫、滲液或化膿等感染徵象，故B正確。A錯在白血球數須抽血送檢方能得知，非晨間護理可觀察；C錯在排尿困難無法從體溫紀錄單看出；D錯在人際關係須經與人互動的觀察，並非測量生命徵象時所能評估。故資料與觀察時機相符者僅B，答案為B。","延伸：護理觀察講求「對的資料在對的時機以對的方法取得」。實驗室數據(白血球、血糖)須靠檢驗；生理徵象靠測量;傷口狀況靠換藥直視;心理社會與人際面向靠會談與互動觀察。將評估方法與資料屬性正確配對，是護理過程資料收集階段的基本功，本題即測驗此配對是否得當。",[25,28,31,33,35],{"term":26,"count":27},"護理過程",11,{"term":29,"count":30},"資料收集",2,{"term":32,"count":11},"觀察時機",{"term":34,"count":11},"傷口感染徵象",{"term":36,"count":11},"評估方法配對",[38,41,45,50,55,60],{"webId":39,"stem":40,"number":27,"year":10,"session":11},"nurse-110-1-fundamental-nursing-011","有關護理診斷的敘述，下列何者錯誤？",{"webId":42,"stem":43,"number":44,"year":10,"session":30},"nurse-110-2-fundamental-nursing-027","林女士術後傷口痛，醫囑：Pethidine（Demerol）50 mg IM stat.，為減少注射過程中疼痛與不適，下列措施何者不適當？",27,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-111-1-fundamental-nursing-041","關於脈搏測量方式的描述，下列何者錯誤？",41,111,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-1-fundamental-nursing-079","依據單位內部及外部的環境作適度工作調配，帶領團隊達成共同目標，此領導者運用下列何種領導理論？",79,112,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-113-2-fundamental-nursing-023","有關移動病人並協助擺位，下列敘述何者正確？",23,113,{"webId":61,"stem":62,"number":63,"year":64,"session":65},"nurse-114-3-fundamental-nursing-017","使用冷、熱療法產生的生理反應，所達成的相同效果，下列敘述何者最適當？①減緩炎症反應 ②減緩疼痛 ③減緩關節僵硬 ④減緩充血與腫脹",17,114,3,"2026-09-04",1788510719945]