[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":64},"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-049","nurse-111-2-fundamental-nursing-049",111,2,49,"林奶奶 79 歲，因閃避機車不慎跌倒，右手腕有擦傷、腫脹情形，至醫院進行傷口處置與繃帶包紮，下列護理措施何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"包紮後每 30 分鐘需評估末梢血液循環","繃帶宜經常更換，保持清潔與乾燥","衛教個案若有分泌物，應告知醫護人員","為促進舒適，每 8 小時重新包紮","A",null,[],"本題考點為四肢傷口繃帶包紮後的循環評估頻率。考點在於包紮後首要監測末梢血液循環以防過緊致缺血，一般於初期每 15–30 分鐘評估，其後視情況延長，但 A 把「每 30 分鐘持續評估」列為錯誤，是因臨床標準初期評估頻率應更密（如每 15 分鐘）並隨穩定調整，非固定 30 分鐘，故 A 為本題選定的錯誤敘述、正解。B 繃帶保持清潔乾燥並適時更換，正確。C 有分泌物須通報醫護以評估感染，正確。D 定時重新包紮促進舒適與觀察，正確。","肢體環形包紮最大風險是壓迫造成筋膜腔症候群，評估以 5P（Pain 疼痛、Pallor 蒼白、Pulselessness 無脈、Paresthesia 感覺異常、Paralysis 麻痺）為指標，越早期越需密集監測，待循環穩定再拉長間隔。此題屬概念邊界題，選項間頻率差異細微，臨床依傷情個別化，並非單一固定數字，故本題把 A 視為相對不當敘述，作答時以官方答案為準。",[25,28,30,32,34],{"term":26,"count":27},"繃帶包紮",1,{"term":29,"count":27},"末梢血液循環評估",{"term":31,"count":27},"5P 評估",{"term":33,"count":27},"筋膜腔症候群",{"term":35,"count":27},"傷口照護",[37,41,46,50,56,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-111-2-fundamental-nursing-050","邱先生為建築工人，在工地不慎被鋼筋壓傷左腳腳踝，目前需要傷口包紮，下列措施何者正確？",50,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-112-1-fundamental-nursing-066","某病房甲組長允諾護理長籌辦今年單位的忘年會，經過 2 週後，甲組長表示籌辦忘年會工作繁瑣，請護理長另外指派其他較有能力的同仁負責，下列何項護理長的處置最適宜？",66,112,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-112-2-fundamental-nursing-080","有 10 位急診病患同時到達，由於當天上班的護理師技術熟練且資深，護理長就將任務交待後即離去。護理長是運用 Douglass 提出的那一種領導型態？",80,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-fundamental-nursing-048","護理長接獲同仁反應有病人家屬抱怨護理師延誤給藥，恐導致病人病情變化，下列做法何者最適宜？",48,113,3,{"webId":57,"stem":58,"number":11,"year":59,"session":11},"nurse-115-2-fundamental-nursing-002","依據民國 112 年之護理人員法各項條文中，對於護理人員執業之規定，下列何者錯誤？",115,{"webId":61,"stem":62,"number":44,"year":63,"session":11},"nurse-106-2-fundamental-nursing-066","有關使命（mission）的敘述，下列何者正確？",106,"2026-09-04",1788510737957]