[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-110-2-基本護理學與護理行政-049","nurse-110-2-fundamental-nursing-049",110,2,49,"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？",{"A":15,"B":16,"C":17,"D":18},"如家屬無法立即聯絡，可先進行約束，隨後再取得家屬同意","約束時，約束帶鬆緊度以能伸入 1～2 根手指寬為原則","約束部位先以棉墊包裹，再使用平結","約束帶勿固定於可移動的設備上","A",null,[],"本題考點在身體約束的執行原則，需選出錯誤敘述。身體約束屬限制人身自由的措施，須先有醫囑並取得知情同意，且為保護病人安全的最後手段；以家屬無法聯絡就先約束、事後再補同意作為常規作法，忽略醫囑與正當程序，敘述錯誤，選 A。約束帶鬆緊以可伸入 1–2 指為原則(B)正確；約束部位先以棉墊包裹再打平結(可快速解開)(C)正確；約束帶應固定於床框而非可移動的護欄或設備(D)正確，故均非答案。","約束原則：須醫囑、知情同意、定期評估與記錄、選最少限制方式、每 1–2 小時鬆綁活動並評估血液循環與皮膚。打結用平結或快速解開結，固定於床架不動處以免病人拉扯受傷。約束是最後手段，應先嘗試環境調整、陪伴等替代方法。記憶：醫囑、同意、棉墊、活結、固定床架、定時評估。",[25,28,31,34],{"term":26,"count":27},"知情同意",8,{"term":29,"count":30},"身體約束",3,{"term":32,"count":33},"約束帶固定",1,{"term":35,"count":33},"平結",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-2-fundamental-nursing-050","醫囑每 2 小時間歇管灌食的病人，已於 8：00 am 灌食 250 mL 後，於 10：00 am 管灌前反抽鼻胃管有 150 mL 之未消化液，下列處置何者最適當？",50,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"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":47,"stem":48,"number":49,"year":45,"session":11},"nurse-111-2-fundamental-nursing-080","護理長在年度預算中編列電動床維修費用，屬於下列何種預算？",80,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-112-3-fundamental-nursing-038","護理主管為能讓機構看到護理專業價值，提升護理專業形象，下列敘述何者正確？",38,112,{"webId":56,"stem":57,"number":58,"year":59,"session":33},"nurse-114-1-fundamental-nursing-042","某護理之家員工共計100人，去年每位員工工作240天，有25人請假，共計請假60天，則該機構去年缺勤率為何？",42,114,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-115-2-fundamental-nursing-036","因應護理人力短缺的問題，衛生福利部於民國 113 年 7 月提出護理人力政策整備 12 項策略計畫，下列敘述何者錯誤？",36,115,"2026-09-04",1788510728478]