[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-110-1-基本護理學與護理行政-035","nurse-110-1-fundamental-nursing-035",110,1,35,"為一位 76 歲罹患乳癌並有骨轉移之病人進行床上沐浴及背部護理時，下列方式何者較適宜？",{"A":15,"B":16,"C":17,"D":18},"沐浴水溫宜保持在 46.5～48℃，以促進血液循環","應由肢體遠心端往近心端按摩擦洗四肢","以 50%酒精進行背部按摩","以扣擊法進行背部及肩頸部的按摩","B",null,[],"本題考點是乳癌骨轉移病人床上沐浴與背部護理的安全考量。依按摩與循環原則，擦洗四肢應由遠心端往近心端進行以促進靜脈與淋巴回流，方式溫和安全，故 B 較適宜。A 水溫 46.5～48℃ 過高，遠超沐浴適溫（約 41～43℃），易燙傷，不宜；C 以 50% 酒精按摩背部會使皮膚乾燥、破壞皮脂並具刺激性，一般背部按摩改用乳液；D 以扣擊法按摩對骨轉移病人有引發病理性骨折之虞，屬禁忌手法。考點在兼顧「由遠心往近心擦洗」與「骨轉移禁扣擊、避免過熱與刺激」的安全要點。","骨轉移使骨質脆弱，任何叩擊、敲打或用力扭轉都可能造成病理性骨折，故 tapotement 為絕對禁忌，翻身移位亦需支托輕柔。擦洗方向由遠心往近心助回流、防水腫，是四肢護理通則。水溫、酒精刺激、力道三者一併評估，體現對癌症末期病人「安全與舒適優先」的照護原則。",[25,27,29,31],{"term":26,"count":11},"骨轉移禁扣擊",{"term":28,"count":11},"由遠心往近心擦洗",{"term":30,"count":11},"沐浴水溫",{"term":32,"count":11},"病理性骨折預防",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-110-1-fundamental-nursing-036","灌腸時肛管大小之選擇，下列何者正確？",36,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-110-2-fundamental-nursing-052","接觸性隔離病人出院後，其病人單位與用物的處理，下列何者正確？",52,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-111-1-fundamental-nursing-066","有關「非正式組織」的敘述，下列何者正確？①對正式組織會產生影響力 ②組織的組成需明文規定 ③是一群能增加工作知能的人 ④因利害關係結合在一起 ⑤需有決策者做規劃領導",66,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-fundamental-nursing-024","張女士因肺癌，術後醫囑開立 FFP 2U St.，在輸注過程中，出現頭暈、呼吸困難、血壓下降，下列之立即處置何者最適當？",24,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-fundamental-nursing-048","因疫情影響導致單位占床率下降，護理長請護理師支援其他病房護理工作，是運用下列何種影響力？",48,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-fundamental-nursing-042","有關護理所使用病人分類系統（patient classification system, PCS）的功能或優點，下列敘述何者最不適當？",42,114,3,"2026-09-04",1788510720253]