[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-010","nurse-111-2-fundamental-nursing-010",111,2,10,"執行病人身體擦澡時，同時觀察其骨突處有無發生壓傷，屬於下列何種觀察種類？",{"A":15,"B":16,"C":17,"D":18},"旁觀性","參與性","自省性","被動性","B",null,[],"本題考點為觀察種類的辨識。護理師在執行擦澡（提供護理措施）的同時觀察骨突處有無壓傷，是在親身參與照護活動的過程中進行觀察，屬參與性觀察，故選 B。(A)旁觀性觀察指不介入活動、僅在旁觀看。(C)自省性為對自我的省察。(D)被動性非標準觀察分類，皆不符「邊執行照護邊觀察」的情境。","護理觀察依觀察者角色分為參與性（融入照護活動中同步觀察，資料自然完整）與旁觀性（不介入、客觀但可能較片段）。日常護理如擦澡、翻身、餵食時同時評估皮膚、意識、活動狀況，正是參與性觀察的價值所在，能在例行照護中蒐集第一手臨床資料。",[25,28,30,32],{"term":26,"count":27},"觀察種類",1,{"term":29,"count":27},"參與性觀察",{"term":31,"count":27},"旁觀性觀察",{"term":33,"count":27},"照護中同步評估",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-011","病歷正確記錄的原則，下列何者錯誤？①大便次數的記錄是指該天一整天所解出的次數 ②疼痛指數的記錄以黑色實心圓記錄 ③輸出量包括大便、胸腔引流液量 ④灌腸後才解的大便次數以「1\u002FE」表示",11,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-112-1-fundamental-nursing-027","有關冷熱應用適應症，下列何者最適宜？",27,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-041","有關脈搏測量部位的敘述，下列何者正確？",41,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-009","以數字等級量表評估一位意識清楚病人的疼痛。病人表示腹痛及頭痛，關於疼痛評估與紀錄，下列敘述何者正確？",9,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-1-fundamental-nursing-013","醫囑：tacrolimus 1 mg\u002Fcap 1 cap. QD P.O. 為持續性藥效膠囊，其正確的服用方式為何？",13,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-027","扭傷 48 小時後，使用熱敷的主要目的，下列何者正確？",106,"2026-09-04",1788510737540]