[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-007":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-113-3-基本護理學與護理行政-007","nurse-113-3-fundamental-nursing-007",113,3,7,"有關急救後病人護理紀錄的撰寫，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"必須由當班主護護理師撰寫紀錄","由當時辦理行政事務的護理師完成紀錄","急救失敗的紀錄不需交代過程只須記錄完成時間","轉送加護病房已結案，忙碌時可以省略急救紀錄","A",null,[],"本題考點在於急救後護理紀錄的書寫規範，須找出正確敘述。護理紀錄具法律效力與連續照護價值，急救紀錄應由實際負責照護、掌握病情經過的當班主護護理師據實完整撰寫，選項 A 正確。其餘皆為錯誤觀念：由當時辦理行政事務的護理師代寫（B）不妥，紀錄應由親自參與照護、了解病情者書寫以確保真實正確；急救即使失敗，仍須完整交代處置經過、用藥與反應，不能只記完成時間（C），因紀錄關乎醫療品質檢討與法律舉證；病人轉送加護病房不代表可省略急救紀錄（D），忙碌不能作為漏記理由，紀錄須及時且完整。核心在於紀錄的真實性、完整性與責任歸屬。","護理紀錄原則：及時（愈接近事件愈準）、真實客觀、完整、可追溯、由當事照護者簽署。急救紀錄尤重時間軸——每次給藥、電擊、生命徵象變化都要標註時刻，這是後續醫療品質審查與法律責任認定的核心依據，任何省略都可能構成紀錄瑕疵。",[25,28,30,32],{"term":26,"count":27},"護理紀錄規範",1,{"term":29,"count":27},"急救紀錄完整性",{"term":31,"count":27},"紀錄法律效力",{"term":33,"count":27},"紀錄責任歸屬",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-fundamental-nursing-008","病人因車禍昏迷入院，仰臥期間，護理師於病人兩腿外側用粗隆捲軸從腰部到膝蓋加以固定與支托，主要目的是預防病人髖關節產生下列何種情形？",8,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-fundamental-nursing-004","有關化學消毒劑應用的敘述，下列何者正確？",4,114,2,{"webId":46,"stem":47,"number":48,"year":43,"session":11},"nurse-114-3-fundamental-nursing-048","有關績效考核，下列敘述何者最適當？",48,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-106-2-fundamental-nursing-016","有關胰島素注射之敘述，下列何者正確？",16,106,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-107-2-fundamental-nursing-060","由中階管理者如護理督導長其規劃的工作，是屬下列何種規劃？",60,107,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-109-1-fundamental-nursing-014","護理師了解死亡後遺體的變化與時間有關是有助於提供適切的遺體護理，下列敘述何者錯誤？",14,109,"2026-09-04",1788510751966]