[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"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-113-3-基本護理學與護理行政-006","nurse-113-3-fundamental-nursing-006",113,3,6,"病人由家屬送入急診，護理師觀察到病人出現呼吸喘、冒冷汗的狀況，家屬描述「昨天就開始喘了」。 BP：158\u002F92 mmHg、HR：102 次／分、R：26 次／分、SpO 2 ：89%，上述何者為主觀資料？",{"A":15,"B":16,"C":17,"D":18},"病人出現呼吸喘、冒冷汗","家屬描述「昨天就開始喘了」","SpO 2 ：89%","無主觀資料","B",null,[],"本題考點在於護理評估資料的分類：主觀資料與客觀資料的辨識。主觀資料是病人或家屬「陳述、感受」而護理師無法直接測量觀察者；客觀資料則是可觀察、可測量的徵象與數據。選項 B「家屬描述『昨天就開始喘了』」屬他人口述的病史陳述，無法由護理師直接量測，屬主觀資料，選 B。選項 A「病人出現呼吸喘、冒冷汗」是護理師直接觀察到的表徵，屬客觀資料；選項 C「SpO₂：89%」為儀器測量的數值，屬客觀資料；題幹同時列有血壓、心跳、呼吸速率等測量值，皆屬客觀。因確有一項為主觀資料，故 D「無主觀資料」不成立。辨識關鍵在於「來自陳述」對比「可觀測量」。","口訣：主觀＝Symptom（症狀，病人說的、感覺的，如疼痛、噁心、家屬轉述病史）；客觀＝Sign（徵象，看得到量得到，如生命徵象、SpO₂、皮膚濕冷、檢驗值）。護理評估需兩者並陳、交叉佐證，避免只憑單一來源判斷病情。",[25,28,31,34],{"term":26,"count":27},"護理評估",15,{"term":29,"count":30},"客觀資料",14,{"term":32,"count":33},"主觀資料",13,{"term":35,"count":36},"症狀與徵象區分",1,[38,42,47,51,55,60],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-113-3-fundamental-nursing-007","有關急救後病人護理紀錄的撰寫，下列敘述何者正確？",7,{"webId":43,"stem":44,"number":11,"year":45,"session":46},"nurse-114-2-fundamental-nursing-003","有關南丁格爾對護理角色所下的定義，下列敘述何者正確？",114,2,{"webId":48,"stem":49,"number":50,"year":45,"session":11},"nurse-114-3-fundamental-nursing-047","新進護理師發現自己無法如期完成工作而延遲下班，找護理長討論如何精進臨床照護知識及技能，此時護理長可應用下列何種影響力？",47,{"webId":52,"stem":53,"number":27,"year":54,"session":46},"nurse-106-2-fundamental-nursing-015","有關用藥劑量的觀念，下列何者正確？",106,{"webId":56,"stem":57,"number":58,"year":59,"session":46},"nurse-107-2-fundamental-nursing-059","護理師將證照租借給不具護理師資格者使用，處罰方式為：",59,107,{"webId":61,"stem":62,"number":33,"year":63,"session":36},"nurse-109-1-fundamental-nursing-013","有關造成尿瀦留的原因，下列何者正確？①腎臟尿液濃縮能力降低 ②膀胱出口阻塞 ③膀胱過度刺激 ④支配膀胱神經損傷：如脊髓損傷",109,"2026-09-04",1788510751961]