[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-028":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-028","nurse-111-2-fundamental-nursing-028",111,2,28,"邱先生發高燒，體溫 39℃，醫囑開立溫水拭浴使用，護理師為病人執行溫水拭浴時，水溫應該準備幾度？",{"A":15,"B":16,"C":17,"D":18},"41～43℃","38～40℃","27～37℃","18～26℃","C",null,[],"本題考點是溫水拭浴(tepid sponge bath)的水溫準備。依溫水拭浴的降溫原理,水溫須略低於體溫以利傳導散熱,又不可過冷以免引起寒顫反使產熱增加,標準準備水溫約27～37℃,故選C。A的41～43℃屬熱療溫度,會使血管擴張、無法降溫。B的38～40℃接近或等於發燒體溫,散熱效果不足。D的18～26℃過冷,易誘發寒顫、末梢血管收縮而阻礙散熱並使病人不適。考點在於掌握溫水拭浴以「低於體溫又避免寒顫」為原則的適當水溫區間。","物理性退燒藉傳導與蒸發散熱。水溫過高無降溫效果,過低則觸發下視丘體溫調節引起寒顫(shivering),寒顫產熱反使體溫上升,故拭浴水溫設在27～37℃兼顧散熱與舒適。拭浴重點部位為大血管處(頸、腋、鼠蹊)以增傳導效率,拭浴後避免快速覆蓋厚被。記憶:溫水拭浴要「涼而不冷」,冷到發抖就失敗。相對地酒精拭浴因蒸發快、刺激大現已少用。降溫同時須監測體溫與病人反應。",[25,28,31,33],{"term":26,"count":27},"溫水拭浴",3,{"term":29,"count":30},"傳導散熱",1,{"term":32,"count":30},"寒顫產熱",{"term":34,"count":30},"物理性退燒",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-fundamental-nursing-029","有關灌腸時肛管插入的深度及大小的選擇，下列敘述何者正確？",29,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-112-1-fundamental-nursing-045","護理師為病人執行鼻胃管灌食，下列措施何者錯誤？",45,112,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-112-2-fundamental-nursing-059","下列何者屬於護理長層級的管理決策？",59,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-113-3-fundamental-nursing-027","病人因子宮頸癌進行子宮切除手術，術後使用束腹帶，下列何者不是此時使用束腹帶之目的？",27,113,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-115-1-fundamental-nursing-031","協助病人移位時，為能省時省力及避免護理人員受到傷害，下列何者最不適當？",31,115,{"webId":60,"stem":61,"number":43,"year":62,"session":11},"nurse-106-2-fundamental-nursing-045","因心律不整造成缺血性中風，導致左側偏癱且右手點滴滴注的病人測量其血壓時，下列何者正確？",106,"2026-09-04",1788510737735]