[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-016":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-113-3-基本護理學與護理行政-016","nurse-113-3-fundamental-nursing-016",113,3,16,"有關輸血注意事項，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"最初 15 分，滴速宜維持 60～80 gtts\u002Fmin","血漿製品最好在 2 小時內輸完","輸血加壓器的壓力不高於 300 mmHg","輸血前後應使用 0.9% N\u002FS 溶液","A",null,[],"本題考點在於輸血安全的滴速與流程規範，本題為反向題，要挑出錯誤敘述。依輸血反應多在起始 15 分鐘內出現（急性溶血、過敏），此段須放慢滴速以便及時發現異常，標準做法約 20 gtts\u002Fmin（每分鐘不超過 2 mL\u002Fkg），故 A 寫「60～80 gtts\u002Fmin」過快、為錯誤選項。B 正確：血漿製品含凝血因子且無冷藏保存效期短，取出後宜 2 小時內、最遲 4 小時內輸完以防細菌滋生。C 正確：加壓輸血時壓力上限 300 mmHg，過高會造成紅血球機械性破壞溶血。D 正確：輸血前後以 0.9% 生理食鹽水沖管，因葡萄糖液會使紅血球凝集、含鈣的林格氏液會與抗凝劑作用形成凝塊。","起始慢滴的機轉：ABO 不合的急性溶血反應由 IgM 補體活化引發，越早偵測、輸入越少越安全。生理食鹽水是唯一相容沖洗液，因等張且不含葡萄糖與鈣。加壓 300 mmHg 為紅血球剪切耐受上限，記「輸血三個時間：前 15 分慢、血漿 2 小時、全程 4 小時」。",[25,28,31,33],{"term":26,"count":27},"輸血反應監測",2,{"term":29,"count":30},"起始滴速 20 gtts\u002Fmin",1,{"term":32,"count":30},"生理食鹽水沖管",{"term":34,"count":30},"加壓 300 mmHg 上限",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-fundamental-nursing-017","有關冷熱應用能量轉換原理之敘述，下列何者錯誤？",17,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-114-2-fundamental-nursing-013","醫囑為「NTG 1 tab S.L. prn if chest pain」，下列敘述何者正確？",13,114,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-115-1-fundamental-nursing-007","急性膽囊炎開腹手術後、生命徵象穩定的病人，擬定其護理計畫（nursing plan）階段內容，不包括下列何者？",7,115,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-106-2-fundamental-nursing-025","有關乾冷或乾熱在人體應用上的敘述，下列何者正確？",25,106,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-107-2-fundamental-nursing-069","護理師排班原則必須符合相關的法令規定，下列何者與排班較無直接關係？",69,107,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-109-1-fundamental-nursing-023","Ampicillin（500mg）1 vial 粉劑藥物，病人需 Ampicillin 250 mg iv，備藥過程下列何者正確？",23,109,"2026-09-04",1788510752056]