[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-111-2-基本護理學與護理行政-006","nurse-111-2-fundamental-nursing-006",111,2,6,"護理師評估病人所收集的資料，下列何者為症狀（symptom）？",{"A":15,"B":16,"C":17,"D":18},"測量體溫：39.7 度","壓傷傷口紅、有異味","聽診 1 分鐘腸蠕動為 12 次","檢查血色素為 8.7 g\u002FdL","B",null,[],"本題考點是評估資料中『症狀(症候)』與客觀量測資料的區辨。選項A體溫39.7度、C聽診腸蠕動12次、D血色素8.7g\u002FdL,三者皆是以工具或計數取得、可量化的客觀數據(徵象\u002Fobjective data)。B『壓傷傷口紅、有異味』是護理師以視、嗅等感官所見、以性質描述而非數值呈現的臨床表徵,在本題被歸為症狀(symptom),故選B。判別關鍵在於:凡以儀器測量、計數、檢驗得到明確數字者屬客觀量測值;以定性方式描述之表現則對應本題所指的症狀。","護理評估將資料分為主觀(subjective,病人陳述如疼痛、噁心)與客觀(objective,他人可觀察或測量)。嚴格定義下,症狀(symptom)偏主觀、徵象(sign)偏客觀。本題以『可量化的測量值(體溫、腸音次數、血色素)』對比『定性描述的表現(紅、異味)』作區隔,將後者列為答案,提醒作答時分辨『數值化的客觀資料』與『描述性的臨床表徵』。實務書寫時,客觀數據應記錄具體數值與單位,描述性表徵則需客觀化敘述(部位、顏色、氣味、範圍),避免主觀評價用語。",[25,28,30,33],{"term":26,"count":27},"主觀與客觀資料",5,{"term":29,"count":11},"護理評估資料分類",{"term":31,"count":32},"症狀(symptom)與徵象(sign)",1,{"term":34,"count":32},"可量測客觀數據",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-fundamental-nursing-007","當某病房出現火災時，以 R.A.C.E.原則處理，有關其口訣與意義的敘述，下列何者錯誤？",7,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-fundamental-nursing-023","王先生發現靜脈注射點滴液停止滴注，護理人員立即的處理方式下列何者最適宜？①立即拔除注射針頭重新注射 ②評估注射部位是否腫脹 ③檢查是否有回血現象 ④檢查靜脈輸液套管是否扭曲",23,112,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-112-2-fundamental-nursing-037","關於發燒的敘述，下列何者錯誤？",37,{"webId":50,"stem":51,"number":27,"year":52,"session":53},"nurse-113-3-fundamental-nursing-005","核對醫囑應注意的內容，下列敘述何者錯誤？",113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-1-fundamental-nursing-009","護理目標設定的原則，下列何者錯誤？",9,115,{"webId":60,"stem":61,"number":43,"year":62,"session":11},"nurse-106-2-fundamental-nursing-023","小美沿著靜脈注射處有發紅現象，輸液注入速度變慢，此時下列護理處置何者正確？",106,"2026-09-04",1788510737502]