[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-009":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-009","nurse-113-3-fundamental-nursing-009",113,3,9,"以數字等級量表評估一位意識清楚病人的疼痛。病人表示腹痛及頭痛，關於疼痛評估與紀錄，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"應記錄腹痛及頭痛疼痛分數之平均值","「極度疼痛」為 0 分；「不痛」為 10 分","請病人說出當下疼痛感受所代表分數等級","病人皺眉雙手按住傷口，此為疼痛主觀資料","C",null,[],"本題考點在於數字等級量表（NRS）疼痛評估的正確原則。疼痛屬主觀感受，評估應以病人自述為準，請意識清楚的病人自行說出當下疼痛對應的分數等級，最能反映真實痛感，選項 C 正確。其餘皆錯誤：多部位疼痛不應以平均值記錄（A），腹痛與頭痛應分別記錄各自分數，平均會掩蓋單一部位的嚴重度；NRS 的分數方向為「0 分＝不痛、10 分＝最痛（極度疼痛）」，選項 B 將 0 與 10 的意義顛倒，屬錯誤；病人皺眉、雙手按住傷口是護理師觀察到的行為表現，屬疼痛的客觀（行為）資料，而非主觀資料（D）。核心在於疼痛以自述為金標準與量表刻度方向正確。","疼痛被稱為第五生命徵象，評估以病人主訴為主（自述優先原則）。NRS 0–10、Wong-Baker 臉譜量表適用兒童或表達困難者、行為量表（如 FLACC、BPS）用於無法言語者。多部位、多性質疼痛應分別記錄部位、強度、性質與時間，切勿混算平均。",[25,28,30,32],{"term":26,"count":27},"數字等級量表 NRS",1,{"term":29,"count":27},"疼痛主觀自述原則",{"term":31,"count":27},"疼痛量表刻度方向",{"term":33,"count":27},"行為性客觀資料",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-fundamental-nursing-010","醫囑：「RI 6 IU S.C. TID AC 30’」、「NPH 5 IU S.C. HS」。下列有關執行前述醫囑的敘述，何者正確？①需立刻給予 RI 6 IU ②每天晚上睡前給予 NPH 5 IU ③飯後 30 分鐘給予 RI 6 IU，一天四次 ④飯前 30 分鐘給予 RI 6 IU，一天三次",10,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-fundamental-nursing-006","植皮供皮區需使用烤燈，有關其原理與使用原則，下列何者正確？",6,114,2,{"webId":46,"stem":47,"number":48,"year":43,"session":11},"nurse-114-3-fundamental-nursing-050","有關護理成本控制的方法，下列敘述何者最不適當？",50,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-106-2-fundamental-nursing-018","承上題，在給予藥物時，下列何者正確？",18,106,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-107-2-fundamental-nursing-062","成功的推動目標管理，不僅要將目標管理簡化為一種管理程序，更需要導入相關技巧才得以成功。下列何者為目標管理成功的要件？①主管清楚列出目標 ②依個人能力分配不同目標 ③把權限與責任分授給各級主管 ④目標由主管和員工共同完成 ⑤定期回饋進展狀況",62,107,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-109-1-fundamental-nursing-016","下列檢查，何者不具有放射線性傷害？",16,109,"2026-09-04",1788510751989]