[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-058","nurse-111-2-fundamental-nursing-058",111,2,58,"護理師正在執行常規生理指標測量及給藥作業，此時甲病人因術後疼痛要求止痛劑；乙病人血糖高，要求施打胰島素；丙病人主訴胸部悶痛且放射至肩部，臉色蒼白，醫囑要立即做 EKG。下列何者為緊急且重要的工作？",{"A":15,"B":16,"C":17,"D":18},"繼續完成常規作業","給甲病人送止痛藥","給乙病人注射胰島素","安排丙病人做 EKG","D",null,[],"本題考點為臨床工作的優先順序判斷，依「緊急且重要」原則排序。考點在於丙病人主訴胸悶且放射至肩、臉色蒼白，符合急性心肌梗塞的警訊，醫囑立即做 EKG，屬生命危急、最緊急且重要，故選 D。A 繼續常規作業忽略了危急情況，不當。B 術後止痛屬重要但不危及生命，可稍後。C 高血糖打胰島素亦重要但非立即致命。相較之下，疑似心肌梗塞需即刻心電圖與後續處置，時間就是心肌，故 D 優先。","臨床優先順序常用 ABC（呼吸道、呼吸、循環）與「緊急且重要」矩陣判斷。胸痛放射至肩、冒冷汗、臉色蒼白是心肌缺血的典型表現，EKG 可即時辨識 ST 段變化以決定再灌流時機，延誤將擴大梗塞範圍，即「time is muscle」。止痛與血糖控制屬重要不緊急，可依序處理。記憶：先救命（循環）、再解症狀、後做常規，威脅生命者永遠插隊到最前。",[25,27,30,32,34],{"term":26,"count":11},"優先順序判斷",{"term":28,"count":29},"急性心肌梗塞警訊",1,{"term":31,"count":29},"EKG",{"term":33,"count":29},"緊急且重要矩陣",{"term":35,"count":29},"ABC 評估",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-111-2-fundamental-nursing-059","有關「精實」應用於醫療專業的敘述，下列何者正確？",59,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-112-1-fundamental-nursing-075","衝突的發展過程中，當個體感受知覺衝突，且產生情緒反應時，屬於下列那一個階段？",75,112,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-112-3-fundamental-nursing-009","國中學童在校接受流感疫苗皮下注射，下列敘述何者正確？",9,3,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-114-1-fundamental-nursing-007","下列何者是相依性護理活動？",7,114,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-115-2-fundamental-nursing-011","醫囑 Ampicillin 2,000 mg IVD Q4H，此藥物為每 vial 含有 Ampicillin 500 mg，下列給藥敘述何者正確？",11,115,{"webId":62,"stem":63,"number":44,"year":64,"session":11},"nurse-106-2-fundamental-nursing-075","某醫院急診室凌晨接到因瓦斯管氣爆的傷患，院長立即至急診室現場坐鎮指揮，命令各急救區域的負責人安置及治療傷患，並指派資深人員安頓及照護原有的急診室病人。院長運用 Douglass 提出的領導統御型態是下列那一種？",106,"2026-09-04",1788510738031]