[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-038":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-038","nurse-111-2-fundamental-nursing-038",111,2,38,"下列何種情況，不需要每 4 小時測量一次體溫？",{"A":15,"B":16,"C":17,"D":18},"發燒病人","病危病人","手術後第二天","電腦斷層檢查後","D",null,[],"本題考點是需頻繁監測體溫(每4小時一次)的臨床情境。依體溫監測頻率的判斷,發燒病人(A)須密切追蹤退燒趨勢、病危病人(B)生命徵象不穩需嚴密監測、手術後第二天(C)仍有術後感染發燒風險須觀察,故此三者皆需每4小時測量一次。而電腦斷層檢查(D)屬影像診斷,除非使用顯影劑須觀察過敏反應,一般並不會直接改變體溫調節,無須每4小時例行測溫,故D「電腦斷層檢查後」不需每4小時測體溫,為正解。考點在於辨識何種情況體溫具臨床監測價值。","測溫頻率依病情風險決定:發燒、感染、術後、病危、輸血、化療後粒細胞低下等,因體溫變化具診斷或警示意義,常需q4h或更密。反之單純影像檢查(X光、CT、超音波)本身不影響體溫調節,無例行密集測溫需求。判斷原則:此情境的體溫變化是否會改變處置?會→密測;不會→常規即可。記憶:發燒、病危、術後要盯溫,單純檢查不用追。電腦斷層若打顯影劑,重點觀察的是過敏與腎功能,而非體溫。",[25,28,30,32],{"term":26,"count":27},"體溫監測頻率",1,{"term":29,"count":27},"術後發燒觀察",{"term":31,"count":27},"病危監測",{"term":33,"count":27},"檢查後護理",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-039","關於換氣過度（hyperventilation）的特徵，下列敘述何者正確？①一種較正常慢而淺的呼吸 ②一種深而快的呼吸 ③造成血液中 CO 2 下降，而 O 2 上升 ④造成血液中 O 2 下降，而 CO 2 上升",39,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-112-1-fundamental-nursing-055","吳爺爺，肺癌合併腦、骨頭多處轉移，骨轉移疼痛目前有 Morphine 10 mg S.C. q4h+p.r.n.使用，臨終階段出現譫妄、躁動不安之情形，案妻詢問醫療人員：「看他這樣很捨不得，可以用點藥讓他休息一下嗎？」醫療人員如何回應較為適宜？",55,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-069","組織成員只向一位主管負責，且有明確工作職掌及呈報系統，符合下列何種組織結構設計的原則？",69,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-037","有關成本分類，下列敘述何者正確？",37,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-1-fundamental-nursing-041","嚴重特殊傳染性肺炎（COVID-19）確診之住院病人持刀傷害護理師，應通報下列何種異常事件？",41,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-055","一位 50 歲男性，離婚，曾擔任機師已被確診為肺癌末期病人，經歷過化學治療、放射線治療及標靶治療。近日因出現嚴重的喘、呼吸困難及意識改變而入院治療，但因疾病持續進展，目前病人已面臨「瀕死」的階段。此階段病人可能會出現之生理變化，下列何者正確？①希式面容（Facies Hippocratica） ②畢歐氏呼吸（Biot’s respiration） ③鞏膜水腫 ④幻視覺或幻聽覺 ⑤疼痛減弱或消失",106,"2026-09-04",1788510737844]