[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-017":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-017","nurse-113-1-fundamental-nursing-017",113,1,17,"在冷敷過程中，患處出現下列何種症狀，可持續使用？",{"A":15,"B":16,"C":17,"D":18},"患處有涼的感覺","麻木感","藍斑","疼痛","A",null,[],"本題考點在於冷敷過程中須停止或持續的皮膚徵象判讀。冷敷正常會產生涼、輕微麻感的先後，但出現組織缺血或凍傷警訊時必須停止。A 患處有涼的感覺屬冷敷預期的正常反應，可持續使用，故選 A。B 麻木感表示神經因低溫受抑、循環受損的警訊；C 藍斑（發紺）代表局部缺氧、血流嚴重不足；D 疼痛提示組織受傷害。B、C、D 皆為停止冷敷的危險徵象，唯 A 為安全的正常感覺。判斷主軸是「是否已出現組織缺血或凍傷跡象」。","冷敷不良反應進程：蒼白→發紫（藍斑）→麻木→疼痛，愈後者代表凍傷風險愈高，一出現即須停用。正常僅止於涼感與短暫輕麻界線之前。生理上低溫使血管收縮、血流與感覺傳導下降，過度即缺血。記憶：涼＝可續，紫、麻、痛＝快停，是冷療監測的安全紅線。",[25,28,30],{"term":26,"count":27},"凍傷徵象",2,{"term":29,"count":11},"冷敷不良反應",{"term":31,"count":11},"血管收縮缺血",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-113-1-fundamental-nursing-018","在輸血過程中，病人出現皮膚癢、紅疹、鼻塞及呼吸困難等症狀，可能是發生下列何種輸血反應？",18,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-113-3-fundamental-nursing-014","醫囑：Gentamycin ® 30 mg Q6H I.V. drip in 30 c.c. N\u002FS（IV bag）需滴注 30 分鐘。若使用流速 60 gtts\u002Fc.c.的微滴套管，須調整每分鐘多少滴數，才會如期滴完？",14,3,{"webId":43,"stem":44,"number":45,"year":46,"session":27},"nurse-114-2-fundamental-nursing-008","關於護理評值（nursing evaluation）的敘述，下列何者正確？",8,114,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,106,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-107-1-fundamental-nursing-050","臨終病人的脈搏，較易測得的部位是：",50,107,{"webId":58,"stem":59,"number":60,"year":61,"session":27},"nurse-108-2-fundamental-nursing-004","關於導尿管水球（氣囊）之敘述，下列何者正確？",4,108,"2026-09-04",1788510749944]