[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-022","nurse-113-3-fundamental-nursing-022",113,3,22,"癌症病人主訴身體疼痛不適，下列何者為護理師處理其疼痛問題的首要步驟？",{"A":15,"B":16,"C":17,"D":18},"查看病人的醫囑有否止痛藥物","教導病人放鬆技巧以減輕疼痛","立即向其主治醫師報告","評估其疼痛的部位與性質","D",null,[],"本題考點在於護理過程（nursing process）中疼痛處理的首要步驟。依護理過程「評估→診斷→計畫→執行→評值」的邏輯順序，任何護理措施之前都須先完整評估，故面對疼痛主訴，首要是評估疼痛的部位、性質、強度、時間等（PQRST），才能據以擬定後續處置，選 D。A 查醫囑止痛藥屬執行階段，須先評估才知是否需要用藥。B 教導放鬆技巧是評估後選擇的介入措施之一。C 向醫師報告也應在評估掌握狀況後才有意義。先評估後行動是護理過程的核心原則。","疼痛評估工具 PQRST：Provocation誘因、Quality性質、Region部位\u002F放射、Severity程度（0-10 分）、Timing時間。疼痛列為第五生命徵象，強調客觀且持續評估。護理過程強調資料先行，避免在資訊不足下貿然介入，這是各類「首要步驟」考題的通用解法——答案幾乎都是「評估」。",[25,28,30,32],{"term":26,"count":27},"護理過程步驟",1,{"term":29,"count":27},"疼痛評估 PQRST",{"term":31,"count":27},"評估先於介入",{"term":33,"count":27},"第五生命徵象",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-fundamental-nursing-023","有關協助病人維持良好姿勢的原則，下列敘述何者正確？",23,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-fundamental-nursing-019","護理師為病人翻身擺位時，下列何者最為適當？",19,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-115-1-fundamental-nursing-013","醫囑：tacrolimus 1 mg\u002Fcap 1 cap. QD P.O. 為持續性藥效膠囊，其正確的服用方式為何？",13,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-fundamental-nursing-031","有關教導臨床病人預防便秘的護理措施，下列何者錯誤？",31,106,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-107-2-fundamental-nursing-075","某醫學中心急診室接獲消防局的通知有大量氣爆傷患送至該院，該醫院急診室主任針對此緊急事件首先應執行下列那項工作？",75,107,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-109-1-fundamental-nursing-029","下列有關體液電解質不平衡之敘述，何者正確？",29,109,"2026-09-04",1788510752101]