[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-023":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":11},"nurse-111-2-基本護理學與護理行政-023","nurse-111-2-fundamental-nursing-023",111,2,23,"如果注射部位周圍皮膚冰冷、腫脹、有壓痛感，輸注速度變慢現象時，下列處理方法何者最適當？ ①停止輸注 ②局部濕熱敷 ③給予解熱藥物 ④重新更換注射部位 ⑤按摩注射部位",{"A":15,"B":16,"C":17,"D":18},"①②③","①②④","②③④","③④⑤","B",null,[],"本題考點是靜脈注射部位滲漏(infiltration)的判斷與處理。依題幹描述皮膚冰冷、腫脹、壓痛、滴速變慢,為靜脈液外滲至皮下組織的典型徵象。正確處理:①立即停止該部位輸注以免持續外滲、④重新更換注射部位以恢復治療,以及②局部濕熱敷促進外滲液體吸收與循環,故①②④組合選B。③給予解熱藥物與滲漏無關,屬無效處置。⑤按摩注射部位反而可能使外滲液擴散或加重組織刺激,不宜施行。考點在於辨識滲漏徵象並選出停止、熱敷、換部位的正確處置組合,排除無關與有害動作。","須區辨滲漏(infiltration,一般輸液外滲)與外滲(extravasation,腐蝕性藥物外漏)。滲漏典型徵象:局部腫脹、皮膚冰冷蒼白、疼痛、滴速下降、回血消失。處理原則:停止輸注、拔除或更換部位、抬高患肢、依藥物性質選擇濕熱敷(促吸收)或冷敷(某些腐蝕劑)。一般等張輸液外滲用濕熱敷;若為血管收縮劑或高滲液,處置策略不同。記憶:滲漏三動作—停、換、敷。切勿按摩,以免組織損傷擴大。",[25,27,30,32],{"term":26,"count":11},"更換注射部位",{"term":28,"count":29},"靜脈輸液滲漏",1,{"term":31,"count":29},"滲漏徵象辨識",{"term":33,"count":29},"濕熱敷處置",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-024","有關執行輸血措施的步驟，下列何者錯誤？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-fundamental-nursing-040","楊先生為慢性腎臟疾病病人，其飲食下列何者最為適宜？",40,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-054","楊先生為境外移入個案，確診為 COVID-19 新冠病毒染疫病人，住在負壓隔離病房。過去與家人關係緊密，某日病人因病情每況愈下瀕臨死亡，有關楊先生之臨終照護，下列何者較為適切？",54,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-022","癌症病人主訴身體疼痛不適，下列何者為護理師處理其疼痛問題的首要步驟？",22,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-fundamental-nursing-026","病人雙側手臂因骨折以石膏固定，有關血壓測量的敘述，下列何者正確？",26,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-040","決定血壓中舒張壓變動的主要因素，下列何者正確？",106,"2026-09-04",1788510737684]