[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-034":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-034","nurse-114-3-fundamental-nursing-034",114,3,34,"協助病人蒐集常規痰液檢體，下列敘述何者最適當？",{"A":15,"B":16,"C":17,"D":18},"氣切病人可以抽痰方式蒐集檢體","病人晨起後先刷牙再蒐集第一口痰液","意識不清病人應以無菌棉棒沾咽喉處取得檢體","未能立即送檢時，室溫下能保存 4 小時","A",null,[],"本題考點在於常規痰液檢體的正確採集方法。氣切病人無法有效咳痰時，可經氣切造口以無菌抽痰方式採集下呼吸道檢體，是合宜且常見的做法，故選 A。B 錯在採痰前應以清水漱口去除口腔雜菌，而非刷牙，牙膏與刷牙動作反而污染檢體且非採集第一口痰的標準流程。C 錯在意識不清病人若要採下呼吸道痰液應以抽痰方式，咽喉棉棒採到的是上呼吸道菌叢（屬咽喉拭子而非痰檢體），無法代表痰液。D 錯在痰液檢體未能立即送檢時應冷藏保存並儘速送驗，室溫久放會使雜菌過度增生、影響培養結果，室溫 4 小時並不適當。逐項比對後，唯 A 符合採檢原則，故為答案。","痰檢採集重點在『取到下呼吸道、減少污染、儘速送驗』。清醒病人採晨起第一口深咳痰（此時痰量多、菌數高），採前以清水漱口，避免刷牙、食物殘渣與唾液混入。無法自咳者（意識不清、氣切、插管）以無菌抽痰導管採集。檢體應立即送檢，延遲須冷藏（培養）以抑制雜菌增生，但抗酸菌與部分項目有特殊保存要求。記憶：『晨痰、深咳、清水漱、快送檢；不能咳就抽痰』。咽喉拭子與痰檢代表的解剖部位不同，不可混用。",[25,28,30,33],{"term":26,"count":27},"痰液檢體採集",2,{"term":29,"count":27},"氣切抽痰",{"term":31,"count":32},"晨起深咳痰",1,{"term":34,"count":32},"檢體保存送檢",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-fundamental-nursing-035","有關疑似感染阿米巴痢疾病人的糞便檢體蒐集，下列敘述何者最適當？",35,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-fundamental-nursing-031","病人有留置鼻胃管，因感染 B 型流行感冒住院，有關此病人鼻胃管護理之敘述，下列何者正確？",31,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-fundamental-nursing-075","醫院設有營養部、醫療部、護理部等。這是屬於何種組織型態？",75,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-fundamental-nursing-033","進行疼痛評估時，詢問病人「什麼情況會讓您的疼痛更嚴重？」此為收集下列何項評估資料？",33,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-fundamental-nursing-077","有關傑克斯（Jaques）提出能力（capacity, C）、生產力（work productivity, W）及報酬（pay level, P）可以決定員工工作滿意度，下列敘述何者正確？",77,108,{"webId":61,"stem":62,"number":43,"year":63,"session":32},"nurse-110-1-fundamental-nursing-031","「換氣過度」病人的動脈氣體分析結果，下列何者最有可能？",110,"2026-09-04",1788510761706]