[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-fundamental-nursing-018":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-018","nurse-113-2-fundamental-nursing-018",113,2,18,"有關預防一般藥物周邊靜脈注射時，發生浸潤現象，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"局部腫脹、壓痛","給予局部濕冷敷","點滴速度會變慢","停止注射另覓注射部位","B",null,[],"本題考點在於周邊靜脈注射浸潤（infiltration）的辨識與處置,屬反向題（問「何者錯誤」）。浸潤指非刺激性藥液滲入周圍組織,表現為 A 局部腫脹壓痛（對）、C 點滴速度變慢（對），處置應 D 停止注射、另覓部位（對）。錯誤敘述為 B,一般藥物浸潤處置應「移除點滴、抬高患肢並視情況給予冷或溫敷」,選項僅寫「濕冷敷」不夠周全,且部分情況（非發疱性藥物、需促進吸收）採溫敷更適當,B 的處置敘述被列為錯誤,故選 B。","浸潤（infiltration）與外滲（extravasation）須分辨:前者是一般非刺激性液體滲漏,後者是發疱性藥物（如化療藥、血管收縮劑）滲漏會造成組織壞死。共同處置:立即停止輸注、拔除或依protocol保留針頭抽回藥液、抬高患肢。冷敷可減少擴散與腫脹,溫敷則促進吸收與循環,須依藥物性質選擇。記憶重點:發現腫脹、滴速變慢、無回血即警覺滲漏,先停止再處理。",[25,28,30,32],{"term":26,"count":27},"靜脈注射浸潤",1,{"term":29,"count":27},"局部腫脹壓痛",{"term":31,"count":27},"冷敷與溫敷",{"term":33,"count":27},"停止注射另覓部位",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-fundamental-nursing-019","下列何種藥物於注射完後可搓揉按摩，加速吸收？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-fundamental-nursing-015","有關「靜脈採血」的執行步驟，下列何者正確？",15,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-fundamental-nursing-009","病人表情平淡地對護理師說：「我現在好痛，需要止痛針」，護理師表情疑惑地看著病人。依據伯儂（Berlo）溝通模式，下列敘述何者最不適當？",9,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-fundamental-nursing-057","醫院為提升護理品質，要培養 5 位 N2 護理師完成護理專業能力進階至 N3。以上工作目標敘述，下列 5W 中缺少什麼？",57,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-fundamental-nursing-021","小可是一個妊娠週數 32 週的早產兒，目前體重 1.8 kg，有低血糖情形，給與 12.5% glucose water 靜脈輸注中。小可因血紅素過低，依醫囑輸血，輸血後 10 分鐘出現發燒、心搏過速、低血壓、血尿等情形，下列護理措施何者須優先執行？",21,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-fundamental-nursing-055","10\u002F09 羅先生由高處跌落，多處肋骨斷裂，有急性疼痛的問題，主責護理師於 9：30 AM 給予止痛劑，下列何者為最適當護理評值之紀錄？",55,108,"2026-09-04",1788510754513]