[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-fundamental-nursing-015":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-015","nurse-113-2-fundamental-nursing-015",113,2,15,"王女士乳癌，行右側乳房切除術，今抽血鉀離子：3.0 mEq\u002FL，醫師開立 0.9% N\u002FS 500 mL +15% KCL 15 mEq IVD Keep 10 hrs stat.。將使用精密輸液套管（microdrip set）滴注，下列措施何者正確？",{"A":15,"B":16,"C":17,"D":18},"右側上、下肢禁止施打靜脈注射","備藥時以 15 % KCL 20 mEq\u002F10 mL\u002Famp 抽取 1.5 mL，加入 500 mL N\u002FS 中","使用精密輸液套管滴數為 50 滴／每分鐘","注射部位有發紅、腫脹、壓痛感是注射氯化鉀溶液的正常現象","C",null,[],"本題考點在於靜脈補鉀（KCl）的安全給藥與精密輸液套管滴速計算。醫囑 500 mL 於 10 小時滴完,精密輸液套管滴系數為 60 滴\u002FmL,滴速＝(500 mL × 60 滴\u002FmL) ÷ (10 × 60 分)＝50 滴\u002F分,故 C 正確。A 錯誤,右側乳房切除術後應避免患側上肢注射抽血,但下肢並無禁止,敘述過度;B 錯誤,15% KCl 濃度換算需 15 mEq,若原液為 20 mEq\u002F10 mL 應抽 7.5 mL 而非 1.5 mL,劑量計算錯誤;D 錯誤,注射部位發紅腫脹壓痛是滲漏或靜脈炎的警訊而非正常現象。","精密輸液套管（microdrip）滴系數固定為 60 滴\u002FmL,普通套管（macrodrip）多為 15 或 20 滴\u002FmL。滴速公式:每分鐘滴數＝總量(mL)×滴系數÷總時間(分)。靜脈補鉀鐵律:必須稀釋、控制速度（一般不超過 10 mEq\u002Fhr）、絕不可靜脈直接推注,且注射部位出現紅腫痛須警覺滲漏或靜脈炎。乳癌術後患側禁做患肢注射、抽血、量血壓,以防淋巴水腫。",[25,28,30,32],{"term":26,"count":27},"精密輸液套管滴系數60",1,{"term":29,"count":27},"滴速計算公式",{"term":31,"count":27},"靜脈補鉀安全",{"term":33,"count":27},"患側肢體禁注射",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-fundamental-nursing-016","輸血時發生咳嗽、心搏過速、高血壓及呼吸困難症狀，最有可能發生下列何種反應？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-fundamental-nursing-012","就藥物劑型而言，下列口服藥物何種吸收最快？",12,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-fundamental-nursing-006","下列何者屬於主觀資料？",6,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-fundamental-nursing-054","病人靜脈輸液管路阻塞且測試無回血時，下列立即處置何者最適切？",54,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-fundamental-nursing-018","王先生，45 歲，胰臟炎術後，抽血檢查鉀離子 2.7 mEq\u002FL，醫囑開立 KCL 10 mEq St.，護理師在執行此醫囑時，下列何者必須先向開立醫囑醫師澄清？",18,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-fundamental-nursing-052","腦死判定時，有關腦幹反射功能的測試應包括下列何者？",52,108,"2026-09-04",1788510754498]