[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"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-113-1-基本護理學與護理行政-007","nurse-113-1-fundamental-nursing-007",113,1,7,"手術後第2天，病人於8：30 AM下床活動後主訴傷口痛且臉色蒼白、盜冷汗，醫師評估後於9 AM給予止痛藥。下列何者為最適當的評值？",{"A":15,"B":16,"C":17,"D":18},"8：45 AM採半坐臥後，蒼白改善","9 AM依醫囑給與止痛藥","10 AM病人主訴疼痛指數3分","10 PM家屬表示病人睡不著","C",null,[],"本題考點在於護理評值（evaluation）的定義：在措施執行後，以病人反應對照原目標，檢視問題是否改善。題幹核心問題是「傷口痛」，9 AM 依醫囑給止痛藥為介入措施，最能反映此措施成效的是 10 AM 病人主訴疼痛指數 3 分，直接呈現給藥後疼痛減輕的客觀結果，故選 C。A 半坐臥後蒼白改善評的是姿勢對循環的影響，非止痛成效；B 給止痛藥本身是「執行」而非評值；D 家屬表示睡不著是新的主觀陳述，與止痛措施缺乏明確時序連結，且屬再評估的資料。評值必須對應介入措施與原始問題。","評值三要素：對應目標、量化指標、時序在措施之後。疼痛照護常用數字量表（NRS 0–10），給藥後回測分數是最標準的成效指標。此題設計在測驗考生能否分辨「執行」與「評值」，以及評值資料須與原問題（疼痛）同一軸線，而非跳到其他症狀。",[25,28,30],{"term":26,"count":27},"護理評值",4,{"term":29,"count":11},"疼痛數字量表 NRS",{"term":31,"count":11},"措施成效對應",[33,37,41,46,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-113-1-fundamental-nursing-008","下列護理人員的答話，何者能增進護病關係？",8,{"webId":38,"stem":39,"number":27,"year":10,"session":40},"nurse-113-3-fundamental-nursing-004","有關健康的敘述，下列何者錯誤？",3,{"webId":42,"stem":43,"number":44,"year":45,"session":11},"nurse-114-1-fundamental-nursing-048","應用PDCA（Plan-Do-Check-Act）於老人跌倒品質改善，下列何者正確？",48,114,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-115-2-fundamental-nursing-046","下列何種疾病不是透過病媒傳染？",46,115,2,{"webId":53,"stem":54,"number":55,"year":56,"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",40,107,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-108-1-fundamental-nursing-074","護理主管要求護理人員上班時應穿戴醫院規範制服及識別證，此領導者的權力為下列何者？",74,108,"2026-09-04",1788510749851]