[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-053":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":11},"nurse-111-2-基本護理學與護理行政-053","nurse-111-2-fundamental-nursing-053",111,2,53,"有關痰液檢體收集方式，下列敘述何者正確？①痰液無法咳出，可協助震顫叩擊 ②早上起床後可先刷牙，再留第一口痰 ③痰液量少的病人，可以口咽部唾液代替 ④氣切留置病人，可用抽痰法取得檢體",{"A":15,"B":16,"C":17,"D":18},"①②","②③","③④","①④","D",null,[],"本題考點為痰液檢體收集的正確做法，屬複選。正確者為①④，選 D：①痰咳不出時可先胸腔物理治療、震顫叩擊鬆動痰液再採；④氣切病人可用無菌抽痰法取得下呼吸道檢體。②早晨第一口痰品質最佳，但採檢前應「先漱口不刷牙」以免牙膏與出血污染，故「先刷牙」錯；③唾液來自口咽並非下呼吸道分泌物，不能代替痰液，否則檢體不具代表性，故錯。因此①④正確，其餘牽涉污染與代表性問題。","呼吸道檢體的核心是「取得下呼吸道分泌物、避免上呼吸道污染」。合格痰液鏡檢下應多見中性球、少見鱗狀上皮細胞，後者過多即代表唾液污染而需重採。故採檢強調清晨深咳、先漱口去除口腔常在菌，必要時以物理治療或抽痰輔助。記憶對比：漱口可以、刷牙不行；痰要深咳、唾液不算；抽痰適用於人工氣道病人。",[25,27,30,32,34],{"term":26,"count":11},"氣切抽痰",{"term":28,"count":29},"痰液檢體",1,{"term":31,"count":29},"胸腔物理治療",{"term":33,"count":29},"唾液污染",{"term":35,"count":29},"檢體代表性",[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-111-2-fundamental-nursing-054","依照衛生福利部公告之腦死判定準則，下列何者屬於腦死的認定標準？①低體溫昏迷 ②無腦幹反射 ③須經一次腦幹功能測試 ④無自行呼吸",54,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-112-1-fundamental-nursing-070","對於分權式組織特性的描述，下列敘述何者最適宜？",70,112,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-112-3-fundamental-nursing-004","有關護理人員助人專業的倫理守則，下列敘述何者錯誤？",4,3,{"webId":52,"stem":53,"number":11,"year":54,"session":29},"nurse-114-1-fundamental-nursing-002","有關內科無菌技術的敘述，下列何者正確？",114,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-115-2-fundamental-nursing-006","成年病人痔瘡術後 1 日，表示傷口處疼痛，護理師依醫囑讓病人溫水坐浴 15 分鐘，但坐浴後病人主訴疼痛並未改善，護理師重新檢視前述的處理過程和未能改善原因，護理師此項行為，屬於何種觀察？",6,115,{"webId":61,"stem":62,"number":44,"year":63,"session":11},"nurse-106-2-fundamental-nursing-070","下列何者不是促進主管授權的因素？",106,"2026-09-04",1788510737987]