[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-112-2-基本護理學與護理行政-010","nurse-112-2-fundamental-nursing-010",112,2,10,"有關護理人員執行紀錄的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"以電子病歷記錄時，護理人員需進行電子簽章","記錄的時間欄位為執行護理活動的時間","護理人員應客觀記載所收集的資料","電子病歷記載錯誤時可刪除，即可不留下原有紀錄","D",null,[],"本題考點是護理紀錄的書寫與更正規範,錯誤敘述為 D。依病歷記載原則,電子病歷記載錯誤時應「保留原始紀錄的可追溯性」,以加註或修正方式處理,原內容不得逕行刪除或使其無法辨識,以維護紀錄的完整與法律效力,故 D 錯誤。A 正確:電子病歷須進行電子簽章以確認責任歸屬;B 正確:時間欄位應記載實際執行護理活動的時間;C 正確:應以客觀、據實方式記載所收集的資料。關鍵在於紀錄的不可竄改性。","法規與品質延伸:病歷更正的原則是「留痕」——紙本以劃單線加註更正、簽名並註明日期,不可塗改覆蓋;電子病歷則須系統保留修改軌跡(audit trail)。目的在確保紀錄真實、可追溯,兼顧病人權益與醫療糾紛舉證。記錄原則口訣:及時、客觀、正確、完整、可追溯。可連結:電子病歷製作及管理辦法與護理紀錄品質稽核。",[25,28,30,33,35],{"term":26,"count":27},"護理紀錄原則",4,{"term":29,"count":11},"電子病歷",{"term":31,"count":32},"電子簽章",1,{"term":34,"count":32},"紀錄不可竄改",{"term":36,"count":32},"客觀記載",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-112-2-fundamental-nursing-011","有關病歷的注意事項及保存之敘述，下列何者錯誤？",11,{"webId":43,"stem":44,"number":45,"year":10,"session":46},"nurse-112-3-fundamental-nursing-027","病人長期臥床易導致的營養與代謝改變，下列敘述何者正確？",27,3,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-113-2-fundamental-nursing-021","有關膀胱灌洗的目的，下列何者錯誤？",21,113,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-114-3-fundamental-nursing-019","下列那種姿勢擺位，需特別注意病人可能容易有胸部受壓的現象？",19,114,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-106-1-fundamental-nursing-073","每位病人在住院到出院均有一位固定之護理師負責提供照護計畫，以達整體性、連續性及個別性的目的，此為何種護理模式？",73,106,{"webId":63,"stem":64,"number":45,"year":65,"session":11},"nurse-107-2-fundamental-nursing-027","下列何者為靜脈注射部位產生浸潤的可能原因？",107,"2026-09-04",1788510746668]