[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-fundamental-nursing-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-113-2-基本護理學與護理行政-013","nurse-113-2-fundamental-nursing-013",113,2,13,"高血壓病人醫囑為 acetaminophen 1# P.O. QID、MgO 1# P.O. BID、nifedipine 30 mg 1# P.O. QD，凌晨 0：00 開始 NPO，今日上午 10：00 進行上腸胃道攝影，至 12：30 返回病室後測量生命徵象無異常，13：00 執行給藥，下列何者最適當？（備註：該院一天四次給藥常規時間為 9-13-18-21）",{"A":15,"B":16,"C":17,"D":18},"acetaminophen 1#","acetaminophen 1#、MgO 1#","acetaminophen 2#、MgO 1#、nifedipine 1#","acetaminophen 1#、MgO 1#、nifedipine 1#","D",null,[],"本題考點在於「NPO 後恢復給藥」的原則:因檢查禁食而漏掉的劑量,依給藥常規不予補給、也不加倍,恢復進食後只依原排程,給當下該給的劑量即可。該院 QID 常規時間為 9-13-18-21,13:00 本就是排定的給藥點,故此節的每種口服藥各給一劑:acetaminophen 屬 QID,此節給 1#,先前禁食漏掉的 9:00 那一劑不補、不加倍;MgO 屬 BID、nifedipine 屬 QD,排程落在此時段也各給 1#,故本題正解為 D。A、B 錯在漏給了當下應給的藥;C 則錯在把 acetaminophen 補成 2#,違反了漏藥不加倍的核心原則。","藥理與給藥安全角度:acetaminophen 每日有劑量上限(成人一般 ≦4000 mg\u002F日,每劑間隔至少 4 小時),若把禁食漏掉的劑併入下一節變成 2#,不僅違反「missed dose 不 double up」的給藥常規,也可能拉高單次劑量、縮短間隔而增加肝毒性風險,這正是本題把 C 設為陷阱的用意。記憶口訣:「漏藥不補、不疊、續排程」——恢復給藥時把時鐘接回原班表,而非把欠的補回來。對比整理:QID(9-13-18-21)、BID(多為 9-21)、QD(多為 9),13:00 這一節屬 QID 的第二劑,故三藥中凡排程落在此節者各給一劑即可。延伸可連結:給藥五對(five rights)、NPO 對口服藥的影響、以及術前\u002F檢查前用藥的暫停與恢復判斷。",[25,28,30,32],{"term":26,"count":27},"漏藥不加倍原則(missed dose not doubled)",1,{"term":29,"count":27},"QID\u002FBID\u002FQD 給藥常規時間",{"term":31,"count":27},"NPO 對口服給藥的影響",{"term":33,"count":27},"acetaminophen 每日劑量上限",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-fundamental-nursing-014","關於用熱的合併症，下列敘述何者錯誤？",14,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-fundamental-nursing-010","下列何者為執行一次就自動失效的醫囑？①Dulcolax 1 # supp. HS ②Ketoprofen 1 amp. I.M. STAT   ③Valium 1 # P.O. HS SOS   ④Demerol 40 mg I.M. Q6H PRN",10,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-fundamental-nursing-004","病人車禍昏迷中，家人要求灌食由他們準備的草藥救治病人。護理師不同意灌食，是基於下列何種倫理原則？",4,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-fundamental-nursing-052","經過治療後張先生病情穩定，醫師准許出院。下列有關出院護理之敘述，何者錯誤？",52,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-fundamental-nursing-016","有關口服給藥的注意事項，下列敘述何者正確？①不能同時服用的藥物，宜間隔 30 分鐘後再服用 ②為加速 tetracycline 的藥效，建議與牛奶一起服用 ③鐵劑應使用吸管服用 ④口服藥物為能減輕苦味均可以配果汁服用",16,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-fundamental-nursing-050","一位長期服用furosemide（Lasix ○ R ）、Warfarin ○ R 的病人，其飲食衛教下列何者適當？",50,108,"2026-09-04",1788510754473]