[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":63},"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-028","nurse-112-2-fundamental-nursing-028",112,2,28,"方先生，體溫 39.5℃，依醫囑給予溫水拭浴。下列措施何者正確？",{"A":15,"B":16,"C":17,"D":18},"頭放熱水袋、足部放冰枕，避免寒顫","以擦拭取代輕拍方式進行，散熱效果更佳","拭浴時，腋下、手心與腹股溝處須多停留數秒鐘","後頸、後背部和足部不擦拭","C",null,[],"本題考點是溫水拭浴的正確降溫技巧。依散熱原理,腋下、手心、腹股溝(鼠蹊部)及膝膕窩等大血管淺行處是散熱重點區,拭浴時應多停留數秒以增加熱交換效率,故 C 正確。A 錯,頭部與足部的處置目的是「頭放冰枕降腦溫、足部放熱水袋防寒顫」,選項把冷熱位置對調了。B 錯,應以「輕拍」方式讓水分停留在皮膚上蒸發散熱,快速擦拭反而擦乾水分、散熱效果差。D 錯,後頸、後背同樣可擦拭以增加散熱面積,不應略過;足底可視情況保暖但軀幹背部須擦拭。","溫水拭浴利用「傳導+蒸發」雙重散熱,水溫約 32~34℃(略低於體溫但不致引起寒顫)。技巧要點:大血管處(頸側、腋窩、肘窩、腹股溝、膝膕窩)停留久一點以帶走深部熱;採輕拍或濕敷保留水膜利於蒸發;避免用冷水或酒精拭浴幼兒以免劇烈血管收縮引發寒顫,寒顫反而產熱升溫並增加耗氧。頭部置冰枕保護腦部、足部保暖防寒顫是配套措施。全程約 20~30 分鐘,並於拭浴後 30 分鐘複測體溫評估成效。",[25,28,31,33],{"term":26,"count":27},"溫水拭浴",3,{"term":29,"count":30},"大血管散熱部位",1,{"term":32,"count":30},"輕拍與蒸發散熱",{"term":34,"count":30},"防寒顫措施",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-2-fundamental-nursing-029","關於清潔灌腸之敘述，下列何者正確？",29,{"webId":41,"stem":42,"number":43,"year":10,"session":27},"nurse-112-3-fundamental-nursing-045","Benner 於 1984 年根據技能發展模式（Dreyfus Model of Skill Acquisition），將學習歷程分為五個階段。下列順序何者正確？",45,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-113-2-fundamental-nursing-039","直覺學者蓋瑞‧克萊恩（Gary Klein）提到決策的直覺能力要如何培養，下列敘述何者正確？①充實的知識 ②豐富的經驗 ③財富的累積 ④良好溝通能力",39,113,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-114-3-fundamental-nursing-037","有關「規劃」具備的功能或目的，下列敘述何者最適當？①達成目標的機會增加 ②各單位的協調一致性高 ③能發揮管理績效 ④個人的承諾度佳 ⑤組織管理的彈性好",37,114,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-011","有關護病關係的敘述，下列何者錯誤？",11,106,{"webId":60,"stem":61,"number":43,"year":62,"session":11},"nurse-107-2-fundamental-nursing-045","每次灌食前，必須反抽胃內溶液之主要目的是在預防灌食造成下列何種情況？",107,"2026-09-04",1788510746836]