[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"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-032","nurse-113-1-fundamental-nursing-032",113,1,32,"有關遺體護理的敘述，下列何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"需協助鼻胃管留置病人反抽胃內容物後，再移除管路","協助遺體口腔護理後，並幫助閉合","拔除留置導尿管前，宜先抽出水囊內蒸餾水再移除","協助採仰臥並移除頭部枕頭，避免頭頸屈曲","D",null,[],"本題考點在於遺體護理的正確措施，為反向題，問「最不適當」者。最不適當為 D：協助遺體採仰臥時應以枕頭略墊高頭部，避免血液積聚頭面部造成變色，並維持自然閉合姿勢；D 敘述「移除頭部枕頭」反而使頭低於身體、促進血液鬱積於顏面，屬不當，故選 D。A 反抽鼻胃管內容物再移除防外漏、B 口腔護理後協助閉合、C 拔留置尿管前先抽出水囊蒸餾水再移除以免傷尿道，皆為正確遺體護理。錯在頭部擺位。","遺體護理原則：維持外觀尊嚴、防止體液外漏與屍變變色。頭部微墊高使靜脈血回流、減少顏面鬱血變色，並利閉眼閉口。移除各式管路前須先處理內容物或水囊，避免拔除時滲漏或損傷組織。屍斑因血液沉積於低位，故擺位影響外觀。此題考擺位對屍變的影響，錯項為降低頭部。",[25,28,30],{"term":26,"count":27},"遺體護理",7,{"term":29,"count":11},"頭部墊高防鬱血",{"term":31,"count":11},"管路移除原則",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-113-1-fundamental-nursing-033","護理師衛教病人收集24小時尿液檢體，下列敘述何者正確？",33,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-113-3-fundamental-nursing-029","有關鼻胃管餵食法，下列敘述何者錯誤？",29,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-fundamental-nursing-023","成人病人近期發燒，一天內有時體溫達 39℃以上，有時又會突然降到正常值以下，如此交替出現的發燒型態，最可能出現在下列何種疾病？",23,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-106-1-fundamental-nursing-021","周先生，60 歲，3 天未解便，醫囑「Bisacodyl（Dulcolax）10 mg\u002Fsupp 1# supp stat」，下列措施何者適當？①給藥前予腹部評估 ②給藥時協助病人採取右側臥 ③以棉枝輕推藥物進入直腸 ④藥物推入後請病人保持原姿勢 15 分鐘",21,106,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-107-1-fundamental-nursing-065","對於一位工作意願低，但工作能力極強的護理師，應採用下列那一種管理策略？",65,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-fundamental-nursing-019","病人接受化學治療時，護理師評估注射部位是否有紅腫以助確認是否有化學藥物滲漏，此照護措施符合下列何者護理倫理原則？",19,108,"2026-09-04",1788510750076]