[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-028","nurse-110-1-fundamental-nursing-028",110,1,28,"有關成人輸血護理之敘述，下列何者不適當？",{"A":15,"B":16,"C":17,"D":18},"輸血前核對病人血型\u002FRh 因子","協助放置 20G 的靜脈留置針","開始輸血前 15 分鐘流速 25gtt\u002Fmin","病人主訴呼吸困難且不適時，調慢流速","D",null,[],"本題考點是成人輸血的安全護理。依輸血安全規範，輸血中若病人主訴呼吸困難與不適，可能是溶血、過敏或循環負荷過重的警訊，正確處置是立即停止輸血、改打生理食鹽水維持管路並通報，而非只調慢流速，故 D 不適當、為本題答案。A 輸血前雙人核對病人血型與 Rh 因子，是防止溶血的關鍵，敘述適當；B 選用 20G 以上口徑留置針以確保流速並減少紅血球破壞，敘述適當；C 開始前 15 分鐘採每分鐘約 25 滴慢速並密切觀察，以早期發現反應，敘述適當。考點在辨識輸血反應時「先停血」的原則。","輸血起始慢、前 15 分鐘留床觀察，是因急性溶血反應多在早期發作。出現發燒、寒顫、呼吸困難、腰背痛、血尿時的口訣是「停血、換生理食鹽水另管、通報醫師、保留剩餘血袋送驗」。血品須與生理食鹽水並用（禁與含鈣的乳酸林格或葡萄糖水共管以免凝集），口徑不宜過細以防紅血球機械性破壞。",[25,28,30,32],{"term":26,"count":27},"輸血反應處置",3,{"term":29,"count":11},"輸血安全",{"term":31,"count":11},"血型核對",{"term":33,"count":11},"先停血原則",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-1-fundamental-nursing-029","下列何種情況下，病人適宜使用熱療？",29,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-110-2-fundamental-nursing-045","有關血壓之敘述，下列何者錯誤？",45,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-111-1-fundamental-nursing-059","某醫院產科病房護理長應邀嬰兒奶粉代言，常見她身著護理師制服出現在電視和平面媒體上推薦產品。下列敘述何者正確？",59,111,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-112-2-fundamental-nursing-017","楊先生的身體質量指數 BMI 為 16.0（kg\u002Fm 2 ），今日早上 10 點主訴頭暈、噁心想吐，測得血糖值為 360 mg\u002FdL，醫師開立醫囑，胰島素 RI 6U SC St.，下列護理處置何者錯誤？",17,112,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-113-2-fundamental-nursing-041","有關應用赫茲伯格（Herzberg）雙因子理論之激勵因素，減少護理人員倦勤與異動所採取的措施，下列何者正確？",41,113,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-114-3-fundamental-nursing-035","有關疑似感染阿米巴痢疾病人的糞便檢體蒐集，下列敘述何者最適當？",35,114,"2026-09-04",1788510720135]