[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"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-112-1-基本護理學與護理行政-023","nurse-112-1-fundamental-nursing-023",112,1,23,"王先生發現靜脈注射點滴液停止滴注，護理人員立即的處理方式下列何者最適宜？①立即拔除注射針頭重新注射 ②評估注射部位是否腫脹 ③檢查是否有回血現象 ④檢查靜脈輸液套管是否扭曲",{"A":15,"B":16,"C":17,"D":18},"①②③","①②④","①③④","②③④","D",null,[],"本題考點在點滴停止滴注時的正確處理順序與內容。考點在於發現滴注停止時，應先評估與排除可逆原因，而非貿然拔針重打，故正確措施為②評估注射部位是否腫脹、③檢查是否有回血、④檢查輸液套管是否扭曲，選 D（②③④）。①立即拔除針頭重新注射屬過度侵入且未先排查原因，應最後才考慮，故凡含①的選項皆錯。A、B、C 皆納入了①，違反「先評估後處置、由非侵入到侵入」的原則。錯誤選項共通問題在於把重新穿刺當第一步。","點滴不滴的排查順序（由簡到繁、非侵入優先）：查管路有無扭曲受壓、調節夾與高度、針頭是否貼壁或滲漏、有無回血、注射部位是否腫脹外滲或靜脈炎。確認滲漏或阻塞無法排除時才重新穿刺。原則：先評估、後處置；非侵入先於侵入，保護血管。",[25,28,30,32],{"term":26,"count":27},"靜脈輸液",3,{"term":29,"count":27},"先評估後處置",{"term":31,"count":11},"點滴不滴排查",{"term":33,"count":11},"外滲評估",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-1-fundamental-nursing-024","有關輸血引起過敏性休克反應，下列敘述何者錯誤？",24,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-112-2-fundamental-nursing-040","急診室接到重大車禍傷患，到院時意識不清，血壓只有 70\u002F35 mmHg，懷疑內出血，下列敘述何者正確？",40,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-113-1-fundamental-nursing-004","依據109年修訂之護理人員法，護理人員因停業、歇業、復業或變更執業處所時，應於自事實發生之日起於規定時間內，報請原發執業執照機關備查，若違反其規定者得處新臺幣多少罰鍰？",4,113,{"webId":50,"stem":51,"number":43,"year":52,"session":43},"nurse-114-2-fundamental-nursing-002","護理師為病人執行身體評估，並依營養師建議追蹤病人飲食，此兩項措施分屬的專業程度與護理功能為何？",114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,106,{"webId":59,"stem":60,"number":42,"year":61,"session":11},"nurse-107-1-fundamental-nursing-040","測量成人病人脈搏時，發現速率超過 100 次／分鐘，間隔時間長短不一，其先後相繼無一定的節律，呈現跳幾下停一下的狀況，病人脈搏所呈現的脈律不整，下列何者最有可能？①二重脈 ②三重脈 ③間歇脈 ④心搏過速",107,"2026-09-04",1788510741125]