[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-023":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-023","nurse-114-3-fundamental-nursing-023",114,3,23,"護理師測量一位 80 歲病人的耳溫結果顯示為 37.9℃，下列關於體溫測量何者最適當？",{"A":15,"B":16,"C":17,"D":18},"老年人的耳溫在體溫測量部位中溫度最低","老年人耳溫容易受到外在環境溫度的影響","老年人耳溫較其他年齡層為高","測量數值為老年人耳溫的正常範圍","B",null,[],"本題考點在於老年人耳溫（鼓膜溫）測量的特性判讀。耳溫因鼓膜與下視丘共享頸內動脈血流，理論上接近核心體溫，但老年人耳道結構改變、體溫調節能力下降，測量結果較易受外在環境溫度與操作技巧影響而波動，故選 B。A 錯在耳溫在各測量部位中通常最接近核心溫度而偏高，並非最低（口溫、腋溫相對較低）。C 錯在老年人因基礎代謝率下降，體溫及耳溫多偏低而非較其他年齡層高。D 錯在耳溫正常範圍上限約 37.5℃，此例 37.9℃ 已偏高、不屬正常範圍，需再評估是否發燒或測量誤差。逐項比對後只有 B 正確描述老年人耳溫的變異特性。","耳溫槍測的是鼓膜紅外線輻射，操作準確性高度依賴探頭對準鼓膜、耳道無耵聹阻塞與正確拉耳（成人向後上方）。老年人耳道較塌陷、皮下脂肪與循環改變，加上環境溫差，使讀值波動較大。臨床連結：判讀體溫須考量測量部位差異，一般核心溫度排序為直腸>耳>口>腋；老年人常因免疫反應鈍化而發燒不明顯，即使感染體溫也可能僅輕度上升，故不能單以體溫排除感染。",[25,28,31,33],{"term":26,"count":27},"核心溫度",2,{"term":29,"count":30},"耳溫測量",1,{"term":32,"count":30},"老年人體溫調節",{"term":34,"count":30},"測量部位差異",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-fundamental-nursing-024","有關護理人員法之規範，下列敘述何者最適當？",24,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-fundamental-nursing-020","下列何者不屬於溫水坐浴之適用對象？",20,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-fundamental-nursing-064","下列有關官僚理論（Bureaucracy）敘述何者錯誤？",64,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-fundamental-nursing-022","承上題，小可出現的是何種輸血副作用？",22,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-fundamental-nursing-066","某病房所有病人一天所需的總護理時數為 150 小時，該單位護理師的休假係數為 1.4，則該單位所需之護理人力至少為多少人？",66,108,{"webId":61,"stem":62,"number":43,"year":63,"session":30},"nurse-110-1-fundamental-nursing-020","楊先生為癌症病人，今天 9AM 給藥時拒絕服用口服藥，護理師在第一時間的反應，下列何者最適當？",110,"2026-09-04",1788510761608]