[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-113-1-基本護理學與護理行政-016","nurse-113-1-fundamental-nursing-016",113,1,16,"病人因高燒使用低溫毯，護理師在使用低溫毯期間，下列照護事項何者正確？ ①為達到降溫效益，低溫毯應直接與病人皮膚接觸 ②剛使用時應每5分鐘測量病人的生命徵象，待穩定後則可以每15分鐘監測一次 ③使用過程中若病人出現發抖現象，為正常現象，可持續使用，但需每15分鐘監測體溫一次 ④應每30～60 分鐘協助病人翻身，以免造成壓力性損傷",{"A":15,"B":16,"C":17,"D":18},"①②","③④","①③","②④","D",null,[],"本題考點在於低溫毯（降溫毯）使用期間的正確照護，須逐項判斷組合。正確為②④，故選 D。②剛使用時每 5 分鐘測生命徵象、穩定後改每 15 分鐘，符合密集監測原則；④每 30～60 分鐘協助翻身以防壓力性損傷，因低溫加壓迫易致皮膚受損，正確。①錯在低溫毯不應直接接觸皮膚，須加布單避免凍傷；③錯在使用中若出現發抖表示身體產熱對抗降溫、屬異常，應暫停或處理而非持續使用，發抖會升高代謝與體溫反效果。故僅②④正確。","低溫毯降溫靠傳導散熱，發抖（shivering）是最大禁忌，因肌肉顫動大量產熱抵消降溫並增加耗氧，須設法抑制。皮膚須隔布並勤翻身觀察循環與凍傷。監測採「先密後疏」：初期 5 分鐘、穩定後 15 分鐘。組合題訣竅：先鎖定明顯錯項（①直接接觸、③發抖續用）即可反推答案。",[25,28,30,32],{"term":26,"count":27},"壓力性損傷預防",3,{"term":29,"count":11},"低溫毯照護",{"term":31,"count":11},"發抖禁忌",{"term":33,"count":11},"生命徵象監測",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-fundamental-nursing-017","在冷敷過程中，患處出現下列何種症狀，可持續使用？",17,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-113-3-fundamental-nursing-013","病人行腹腔鏡膽囊切除術，醫囑開立術後 6 小時可進食清流飲食（clear liquid diet），下列何項為可食用的飲食選擇？",13,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-fundamental-nursing-007","護理師執行醫囑「Dopamine（200 mg\u002F5 mL\u002Famp）4 amp in NS 500 c.c., IV Drip, pump 使用」時，下列敘述何者錯誤？",7,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-fundamental-nursing-005","測量 H5N1 流感病毒感染病人生命徵象時，下列何項防護設備較不必要？",5,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-fundamental-nursing-049","有關管灌飲食的注意事項，下列敘述何者錯誤？",49,107,{"webId":60,"stem":61,"number":27,"year":62,"session":48},"nurse-108-2-fundamental-nursing-003","臨床上常用的濕熱療法包括那些？①熱水袋 ②溫水坐浴 ③烤燈 ④石蠟浴 ⑤溫水浸泡",108,"2026-09-04",1788510749927]