[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-111-1-基本護理學與護理行政-041","nurse-111-1-fundamental-nursing-041",111,1,41,"關於脈搏測量方式的描述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"新生兒與嬰兒脈搏需測量心尖脈 1 分鐘","下肢行外科手術前後需要測量足背動脈","一般成人最常用的周邊脈搏為肱動脈","心律不整者需同時測量心尖脈與橈動脈","C",null,[],"本題考點為脈搏測量部位與方法,選「錯誤」者。C 敘述錯誤:一般成人最常用、最方便測量的周邊脈搏是橈動脈(位於手腕拇指側,表淺易觸),而非肱動脈;肱動脈主要用於測量血壓與嬰兒心肺復甦,故選 C。A 正確,新生兒與嬰兒因周邊脈搏微弱且心率快,須聽診心尖脈整整 1 分鐘。B 正確,下肢外科手術前後測量足背動脈可評估遠端血液循環是否通暢。D 正確,心律不整者應同時測量心尖脈與橈動脈(兩人合測),比較脈搏短絀(pulse deficit),評估心臟收縮是否有效傳至周邊。","常用周邊脈搏部位:橈動脈(成人首選、方便)、肱動脈(量血壓、嬰兒 CPR)、頸動脈(成人急救判斷循環)、股動脈、足背與脛後動脈(評估下肢循環)。心尖脈(左鎖骨中線第 5 肋間)為最準確,用於嬰幼兒、心律不整、服用強心藥前。脈搏短絀=心尖脈次數−橈脈次數,差值反映有些心跳過弱未能傳至周邊(如心房顫動),須兩人同步一分鐘測量。此題陷阱把「最常用周邊脈」誤植為肱動脈。",[25,28,31,33],{"term":26,"count":27},"脈搏短絀",6,{"term":29,"count":30},"脈搏測量部位",3,{"term":32,"count":11},"橈動脈為成人首選",{"term":34,"count":11},"心尖脈與嬰兒",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-1-fundamental-nursing-042","下列何者非維持血壓的因素？",42,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-111-2-fundamental-nursing-058","護理師正在執行常規生理指標測量及給藥作業，此時甲病人因術後疼痛要求止痛劑；乙病人血糖高，要求施打胰島素；丙病人主訴胸部悶痛且放射至肩部，臉色蒼白，醫囑要立即做 EKG。下列何者為緊急且重要的工作？",58,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-112-1-fundamental-nursing-072","依據 Keeney（1994）建議的最佳的問題解決方案，下列敘述何者最適宜？",72,112,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-113-2-fundamental-nursing-010","有關給藥後的敘述，下列何者正確？①親自給藥親自記錄，不可在給藥前記錄 ②若病人拒服藥物，應記錄之，待醫師查房再報告 ③p.r.n.藥物給予後，待觀察病人反應後再完成給藥記錄 ④給藥後，若病人出現不適，應立即停藥並觀察生命徵象",10,113,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-114-3-fundamental-nursing-014","使用冷熱治療，病人對溫度耐受性的影響因素，下列敘述何者最適當？",14,114,{"webId":61,"stem":62,"number":43,"year":63,"session":11},"nurse-106-1-fundamental-nursing-058","急診處送來了一位被強暴的少女，引來一些民眾的圍觀，媒體記者也尾隨而到。護理師在處理過程中，下列何者錯誤？",106,"2026-09-04",1788510733830]