[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-112-3-基本護理學與護理行政-021","nurse-112-3-fundamental-nursing-021",112,3,21,"病人身上有中央靜脈導管及左手留置靜脈管路，協助更衣方式，下列敘述何者最適當？",{"A":15,"B":16,"C":17,"D":18},"脫衣時，先脫右上肢，再脫左上肢","穿衣時，先穿右上肢，再穿左上肢","直接反穿上衣，扣好背後鈕釦","不穿上衣，給予蓋上被單保暖","A",null,[],"本題考點在於有靜脈管路病人更衣的穿脫順序。依「脫衣先脫健側、穿衣先穿患側（受限側）」原則，此病人右手為健側、左手有留置管路屬受限側。脫衣時先脫無管路牽絆的右上肢、再脫左上肢，可避免拉扯管路，故 A 正確。B 錯在穿衣應「先穿患側（左上肢）」再穿健側，順序相反；C 反穿並扣背後鈕釦不便且壓迫管路、不符更衣目的；D 不穿上衣僅蓋被單並未達成協助更衣，且未妥善保護管路，皆非最適當。","口訣「脫健穿患」：脫衣先脫活動自如的健側，讓受限或有管路那側最後離開衣袖、牽動最小；穿衣則先套受限側，趁衣袖寬鬆時完成，健側最後穿較靈活。此原則同樣適用於偏癱、打石膏或有靜脈導管的肢體，核心是把「不靈活或有裝置」那側的操作降到最少。",[25,27,30,33],{"term":26,"count":11},"脫健穿患原則",{"term":28,"count":29},"中央靜脈導管",2,{"term":31,"count":32},"靜脈導管保護",1,{"term":34,"count":32},"更衣護理",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-fundamental-nursing-022","病人接受化學治療導致口腔黏膜潰瘍、疼痛及有異味，相關照護措施下列何者正確？",22,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-113-2-fundamental-nursing-018","有關預防一般藥物周邊靜脈注射時，發生浸潤現象，下列敘述何者錯誤？",18,113,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-114-1-fundamental-nursing-012","就藥物劑型而言，下列口服藥物何種吸收最快？",12,114,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-115-2-fundamental-nursing-010","醫囑「Rinteron solution 1gtt. O.U. Q6h」及「Tetracycline oint. O.U. Q6h」，下列給藥的敘述何者錯誤？",10,115,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-107-1-fundamental-nursing-004","適用外科無菌之護理技術，包括下列那幾項？①灌腸 ②點滴加藥 ③肌肉注射 ④單次導尿 ⑤傷口換藥",4,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-108-1-fundamental-nursing-038","下列那一因素會造成血壓下降？",38,108,"2026-09-04",1788510744497]