[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":63},"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-020","nurse-110-1-fundamental-nursing-020",110,1,20,"楊先生為癌症病人，今天 9AM 給藥時拒絕服用口服藥，護理師在第一時間的反應，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"立即通知醫師前來處理病人問題","說明該藥物對癌症具療效，勸病人服用","評估病人拒服原因，必要時聯絡醫師處理","尊重病人決定，將藥物帶回護理站並做紀錄","C",null,[],"本題考點是病人拒服口服藥時護理師的第一時間處置。依護理過程的評估先行原則，面對拒藥應先評估拒服的原因（如噁心、對藥物疑慮、吞嚥困難），再視情況聯絡醫師處理，故 C 最適當。A 立即通知醫師前來，跳過護理師應先做的評估、也非第一時間最合宜的反應；B 逕行勸說服用，未了解拒絕背後原因，忽略病人自主權且可能引發反感；D 直接尊重決定、帶回藥物並記錄，看似尊重卻省略了評估與溝通，可能錯失可解決的障礙（如換劑型）。考點在於「先評估原因」是護理處置的起點，而非直接上報或直接放棄。","此題呼應護理過程 ADPIE 的評估（Assessment）優先，也涉及知情同意與病人自主。癌症病人拒藥常見原因包括味覺改變、噁心嘔吐、對療效存疑或憂鬱，釐清後多可透過衛教、換劑型或止吐處理化解。記住口訣「先問為什麼，再決定怎麼做」，凡選項含「立即通知醫師」而未評估者多為陷阱。",[25,28,30],{"term":26,"count":27},"病人自主權",6,{"term":29,"count":11},"護理過程評估優先",{"term":31,"count":11},"拒藥處置",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-110-1-fundamental-nursing-021","李先生是使用 Digoxin 治療的病人，下列何者是護理師依醫囑繼續給藥的最重要依據？",21,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-110-2-fundamental-nursing-037","下列那些情況，會增加身體無感性水分喪失（insensible losses）？①腹瀉 ②發燒 ③呼吸短促 ④使用利尿劑",37,2,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-111-1-fundamental-nursing-051","有關尿液培養採檢之敘述，下列何者正確？",51,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-fundamental-nursing-009","林先生是初診斷為糖尿病的病人，下列護理工作何者為協同性或相互依賴性護理功能？",9,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-fundamental-nursing-033","有關病人自主權利法，下列敘述何者正確？",33,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-fundamental-nursing-027","有關壓力性損傷的預防方法，下列何者最適當？",27,114,3,"2026-09-04",1788510720045]