[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-048":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-110-2-基本護理學與護理行政-048","nurse-110-2-fundamental-nursing-048",110,2,48,"王老太太，85 歲，尾薦骨處出現 5×6×1 公分的壓傷，導致壓傷的可能原因下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"營養不良","採半坐臥，身體常下滑","長期便秘","躺臥於不平整床褥","C",null,[],"本題考點在壓傷(壓力性損傷)的成因，需找出錯誤者。壓傷主因為持續壓力、剪力、摩擦、潮濕、營養不良與活動受限。長期便秘(C)與尾薦骨壓傷並無直接因果關係，屬錯誤選項。營養不良(A)使組織耐受力與修復力下降，是重要危險因子；半坐臥時身體下滑(B)產生剪力，是尾薦骨壓傷典型機轉；躺於不平整床褥(D)造成局部壓力集中，皆為合理成因，故選 C。","壓傷四大力學與生理因素：壓力(垂直)、剪力(組織位移拉扯血管)、摩擦、潮濕(失禁性皮膚炎)；再加營養不良、感覺缺失、活動受限、灌流不足等。尾薦骨、腳跟、大轉子、坐骨為好發骨突處。剪力常來自床頭抬高大於 30 度時身體下滑。評估工具：Braden Scale(感覺、潮濕、活動、移動、營養、摩擦剪力)。",[25,28,30,32],{"term":26,"count":27},"剪力",5,{"term":29,"count":11},"壓傷成因",{"term":15,"count":31},1,{"term":33,"count":31},"Braden Scale",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-fundamental-nursing-049","陳先生手術後 6 小時呈現躁動，意識不清，欲拔除身上管路，護理師欲執行約束法，下列敘述何者錯誤？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-111-1-fundamental-nursing-065","甲病房 50 床，占床率 75%，護理師有 20 人，每人 1 年可休假 14 天、公假 10 天參加教育訓練、國定例假日 122 天，請問甲病房每位病人每天平均可獲得多少護理時數？",65,111,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-111-2-fundamental-nursing-079","護理師平時表現不錯，於年終考核期間，與護理長在新進人員教學方法上意見相左，產生爭執，因而考核得到乙等。屬於下列何種績效考核偏誤？",79,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-fundamental-nursing-037","在臺灣，許多醫院的年度預算編列方式都採行零基預算（zero-base budget），下列何項非其優點？",37,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-114-1-fundamental-nursing-041","有關病人分類系統的實施原則，下列敘述何者最適當？",41,114,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-115-2-fundamental-nursing-035","陳老太太，因 12 小時未自解尿液，單導後發現尿液呈現混濁、乳靡狀，下列何者為可能的原因？",35,115,"2026-09-04",1788510728461]