[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-110-1-基本護理學與護理行政-016","nurse-110-1-fundamental-nursing-016",110,1,16,"護理師處理電話中的藥物醫囑時，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"寫下此口頭醫囑，並複誦一次與醫師確認無誤後，才可執行","事後應在護理記錄中，註明醫師姓名、藥物名稱、劑量、途徑、時間","宜婉轉向醫師說明為確保給藥安全，拒絕接受口頭醫囑","事後依醫院作業規範，儘速請醫師補開醫囑","C",null,[],"本題考點是口頭／電話醫囑的安全處理原則。依給藥安全規範，緊急或必要時護理師可接受電話醫囑，但須當場寫下、覆誦回讀（read-back）與醫師確認無誤後才執行，故「宜婉轉拒絕接受口頭醫囑」的 C 是錯誤敘述，為本題答案。A 寫下並覆誦確認正是標準防錯步驟，敘述正確；B 事後於護理紀錄註明醫師姓名、藥名、劑量、途徑、時間，符合完整記錄，敘述正確；D 依院內規範儘速請醫師補開書面醫囑，是必要補正程序，敘述正確。三選項描述的都是接受口頭醫囑的正規流程，考點在辨識「一律拒絕」不合實務。","電話醫囑防錯核心是 write-down／read-back：先寫再逐字回讀，特別是藥名相似音（如 Losec 與 Lasix）與劑量單位。全面拒絕反而延誤急救，故規範是「可接受但須嚴格覆誦＋事後補簽」。這與 R\u002FO、給藥三讀五對同屬給藥安全高頻考點。",[25,28,30,32],{"term":26,"count":27},"給藥安全",9,{"term":29,"count":11},"口頭醫囑",{"term":31,"count":11},"覆誦確認 read-back",{"term":33,"count":11},"護理記錄",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-1-fundamental-nursing-017","給予成年病人肛門栓劑時，栓劑置入肛門內的適當深度，下列何者正確？",17,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-110-2-fundamental-nursing-033","病人便秘、痔瘡凸出疼痛，下列冷熱處理方式，何者最適當？",33,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-111-1-fundamental-nursing-047","王太太，70 歲，尾骶骨第二期壓傷，下列衛教指導，何者正確？①每 3～4 小時幫病人翻身一次 ②飲食中要注意補充蛋白質與維生素 C，以促進組織的修復 ③尾骶骨處使用氣墊圈，促進血液循環 ④平躺時可於病人小腿處置放小枕頭，使腳跟處騰空，避免腳跟受壓",47,111,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-112-2-fundamental-nursing-005","有關穿脫隔離衣之敘述，下列何者正確？①脫除隔離衣時，應將污染區包裹在裡面送洗 ②隔離衣須覆蓋至手腕、膝蓋為佳 ③脫隔離衣時，只能持拿外面，以維持裡面乾淨 ④脫下隔離衣後應該立即洗手",5,112,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-113-2-fundamental-nursing-029","長期臥床不動的病人，容易造成那些生理現象？①髖部關節外旋 ②肺部分泌物減少 ③血液黏稠度增加 ④膀胱餘尿減少",29,113,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-114-3-fundamental-nursing-023","護理師測量一位 80 歲病人的耳溫結果顯示為 37.9℃，下列關於體溫測量何者最適當？",23,114,3,"2026-09-04",1788510720018]