[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-024":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":27},"nurse-113-1-基本護理學與護理行政-024","nurse-113-1-fundamental-nursing-024",113,1,24,"關於脈搏測量的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"以觸診法測量脈博時，應用食、中及無名指測量，不可用拇指","心房撲動病人可由二位護理師同時一位測心尖脈、一位測橈動脈","測量時間皆以30秒×2來計算","年老或肥胖病人脈搏不顯著，可使用聽診取代觸診","C",null,[],"本題考點在於脈搏測量的正確方法，為反向題，問敘述「錯誤」者。錯誤為 C：脈搏並非皆以「30 秒×2」計算，只有規律脈搏可測 30 秒再乘 2；若脈搏不規則（如心律不整）須測滿 1 分鐘以求準確，故選 C。A 以食、中、無名指觸診、避免拇指（拇指有自身動脈易誤判）正確；B 心房撲動等心律不整可由兩位護理師同測心尖脈與橈脈以判斷脈搏短絀（pulse deficit）；D 年老或肥胖者脈搏微弱可改用聽診心尖脈，皆正確。錯在把 30 秒×2 絕對化。","脈搏測量原則：規律者 30 秒×2 可接受，不規律者測滿 60 秒；心尖脈一律測 1 分鐘。心尖脈與橈脈同測差值即脈搏短絀，見於心房顫動／撲動。拇指禁用因其本身搏動干擾。看到「皆、都、一律」等絕對詞常為錯項線索，此題正是以絕對化敘述設陷阱。",[25,28,31,33],{"term":26,"count":27},"脈搏短絀",6,{"term":29,"count":30},"脈搏測量",3,{"term":32,"count":11},"不規則脈測滿一分鐘",{"term":34,"count":11},"禁用拇指",[36,40,44,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-1-fundamental-nursing-025","關於測量血壓的注意事項，下列敘述何者正確？",25,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-113-3-fundamental-nursing-021","癌症病人接受化療後，抽血結果為 RBC 3.56×10 6 ，WBC 1200\u002Fmm 3 ，PLT 5000\u002FμL。下列口腔清潔用具何者最適當？",21,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-114-2-fundamental-nursing-015","有關冷、熱的生理反應，下列敘述何者錯誤？",15,114,2,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-106-1-fundamental-nursing-013","有關孫小姐「Steam inhalation 15 min S.O.S.」醫囑的敘述，下列何者錯誤？",13,106,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-107-1-fundamental-nursing-057","根據系統理論，下列何項不屬輸出（output）部分？",57,107,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-108-2-fundamental-nursing-011","有關發燒初期之症狀表現，下列何者正確？",11,108,"2026-09-04",1788510749992]