[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-114-3-基本護理學與護理行政-015","nurse-114-3-fundamental-nursing-015",114,3,15,"有關輸血的注意事項，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"最初的 30 分鐘內速度應較慢（20～40 滴／分），若無不良反應則按醫囑調整滴數","若需使用加壓帶加快流速，適切壓力為 100～200 cmHg，不可超過 400 cmHg","血漿製品應在收到後儘速輸完，最慢在 2 小時內輸注完畢","血品領取後若因故尚未要立即使用，應立即放進護理站的冰箱保存","C",null,[],"本題考點在於輸血過程的安全注意事項。依血漿製品的保存與輸注時效，血漿(如新鮮冷凍血漿解凍後)易失活且為良好培養基，應在收到後儘速輸完、最慢於2小時內完成，(C)最適當，故選C。(A)輸血最初應以更慢速度並於前15分鐘密切觀察急性反應，敘述時間與滴速不夠精準;(B)加壓輸血的壓力上限一般約300 mmHg，其數值與單位敘述不當;(D)血品領取後若暫不使用應退回血庫依規範保存，不可自行放入護理站冰箱，故三者皆不適當。","輸血安全核心:輸注前雙人核對病人與血品資料、使用附濾器的輸血套、以生理食鹽水為相容溶液;開始後前15分鐘慢速並全程監測有無發燒、寒顫、蕁麻疹、呼吸困難等反應。時效上一單位血品原則於4小時內輸完以防細菌繁殖，血漿類更需儘速。記憶要訣:血品保存有嚴格冷鏈，一旦離開血庫就『分秒必爭』，暫不用要退回血庫、絕不放病房冰箱。",[25,28,30,33],{"term":26,"count":27},"輸血注意事項",2,{"term":29,"count":27},"輸血反應監測",{"term":31,"count":32},"血漿製品時效",1,{"term":34,"count":32},"血品保存規範",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-fundamental-nursing-016","當病人接受靜脈輸注而發生血栓靜脈炎時，下列處理何者最適當？",16,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-fundamental-nursing-012","服用 Warfarin 的病人，須注意藥物與食物之交互作用，下列何者最適當？",12,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-fundamental-nursing-056","末期病人於意識清楚時，曾口頭表示臨終時不希望接受心肺復甦術，但尚未簽署任何意願書時，便發生意識不清，當病人出現呼吸停止時，病人的母親因為不捨，要求醫師插上氣管內插管及呼吸器，此時病人 20 歲的女兒到院時，希望能依照父親的心願撤除氣管內插管、呼吸器等維生處置，依據臺灣現行的安寧緩和醫療條例規範，下列處置何者正確？",56,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-fundamental-nursing-014","有關以 S.O.A.P.I.E 書寫護理紀錄，下列何者為針對「E」之描述？",14,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-fundamental-nursing-058","有關決策矩陣分析敘述，下列何者正確？",58,108,{"webId":61,"stem":62,"number":43,"year":63,"session":32},"nurse-110-1-fundamental-nursing-012","有關行為過程觀察與記錄方法，下列敘述何者正確？",110,"2026-09-04",1788510761533]