[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-2-fundamental-nursing-032":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-113-2-基本護理學與護理行政-032","nurse-113-2-fundamental-nursing-032",113,2,32,"有關死亡之後遺體的屍斑、屍冷和屍僵的變化，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"首先出現的症狀是屍僵","屍僵以較大的肌肉最為明顯","屍斑約在死後 2 小時較為明顯","受到壓迫的部位較容易形成屍斑","C",null,[],"本題考點在於死後遺體屍斑(livor mortis)、屍冷(algor mortis)、屍僵(rigor mortis)的變化順序與特徵。屍斑因血液受重力沉積於低位、未受壓部位,約在死後 2 小時逐漸明顯,C 正確。A 錯在最先出現的是屍冷(體溫散失),屍僵較晚發生;B 錯在屍僵是「由小肌肉先開始」,自眼瞼、下頜、頸部等小肌肉往大肌肉群擴展,而非大肌肉最明顯;D 錯在「受壓部位」血液被壓出反而不易形成屍斑,屍斑出現在未受壓的低垂處。故正解為 C。","三徵記憶:屍冷最先(離世即開始散熱)、屍斑約 0.5～2 小時漸顯(重力沉積,壓迫處反而蒼白)、屍僵約 2～4 小時起自小肌肉並逐步遍及全身,約 12 小時達高峰後緩解。臨床辨識屍斑分布可推估死後體位是否被移動,受壓處留白是重要線索。",[25,28,31,33],{"term":26,"count":27},"屍僵",5,{"term":29,"count":30},"屍斑",3,{"term":32,"count":11},"屍冷",{"term":34,"count":11},"死後變化順序",[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-2-fundamental-nursing-033","有關病人自主權利法，下列敘述何者正確？",33,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-1-fundamental-nursing-029","病人左側肢體無力，有關協助病人坐入輪椅的敘述，下列何者正確？①下床前，需測量病人脈搏、呼吸，並視需要量血壓   ②將輪椅放在病人左側床尾，輪椅置於與床尾之間呈90度角處       ③護理師協助病人移動時，身體重心離病人越遠會越省力   ④教導病人要準備坐下輪椅前，先將身體微前傾，再緩慢彎曲膝關節，使重心下降",29,114,1,{"webId":47,"stem":48,"number":49,"year":44,"session":30},"nurse-114-3-fundamental-nursing-023","護理師測量一位 80 歲病人的耳溫結果顯示為 37.9℃，下列關於體溫測量何者最適當？",23,{"webId":51,"stem":52,"number":53,"year":54,"session":45},"nurse-106-1-fundamental-nursing-071","病房小組長常中斷工作夥伴的說話，且不斷的表達自己的想法。這是違反下列那一項建設性的溝通技巧？",71,106,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-107-2-fundamental-nursing-035","可以增加尿道括約肌張力的訓練，下列何者正確？",35,107,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-108-2-fundamental-nursing-069","臺灣護理學會於 1992 年接受行政院衛生署委託辦理「醫院基層護理人員專業能力進階制度」，至今已經在各大醫院實施。小煦畢業後，一直積極參與進階制度培育專業能力，最近她報名參加訓練課程的主題包括：重症病人護理、困難病人護理、醫療糾紛案例討論，小煦正在準備那一個層級的進階？",69,108,"2026-09-04",1788510754673]