[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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":11},"nurse-106-2-基本護理學與護理行政-024","nurse-106-2-fundamental-nursing-024",106,2,24,"有關血栓靜脈炎的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"沿著靜脈注射部位有變硬、發紅現象","注射部位給予按摩","注射部位給予冷敷","注射部位常見紅、腫、熱、痛","B",null,[],"本題考點為血栓性靜脈炎的護理，屬找出錯誤處置題。依血栓照護原則，患部禁止按摩，因按摩可能使血栓脫落形成栓塞，造成肺栓塞等嚴重併發症，故錯誤者為 B。A 正確，血栓性靜脈炎沿靜脈走向可見變硬、發紅；C 就本題答案設定屬正確敘述，急性期給予冷敷以減輕發炎與疼痛；D 正確，患部常見紅、腫、熱、痛等發炎徵象。B「給予按摩」違反血栓照護的明確禁忌且具危險性，故為本題錯誤選項。","血栓性靜脈炎禁止按摩、擠壓，以防血栓脫落成為栓子引發肺栓塞；處置以臥床、抬高患肢、依醫囑抗凝與止痛為主。與單純表淺靜脈炎相比，其關鍵差別在於已有血栓形成，故「動作輕、勿擠壓」是照護核心；冷熱敷的選擇則需依急性或恢復期與醫囑判斷。",[25,27,30,32],{"term":26,"count":11},"禁止按摩",{"term":28,"count":29},"血栓性靜脈炎",1,{"term":31,"count":29},"栓塞",{"term":33,"count":29},"抬高患肢",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-fundamental-nursing-041","血壓收縮壓 146 mmHg，舒張壓 82 mmHg，其脈搏壓為多少？",41,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-055","尤先生，66 歲，診斷慢性阻塞性肺疾病（chronic obstructive pulmonary disease, COPD），因呼吸喘、發燒，由急診送入病房，其立即性的入院護理包括：①監測生命徵象 ②病房環境介紹 ③測量身高體重 ④測量血氧飽和度 ⑤教導呼叫鈴使用 ⑥教導檢體收集方法與檢體放置處",55,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-1-fundamental-nursing-013","有關造成尿瀦留的原因，下列何者正確？①腎臟尿液濃縮能力降低 ②膀胱出口阻塞 ③膀胱過度刺激 ④支配膀胱神經損傷：如脊髓損傷",13,109,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-110-1-fundamental-nursing-057","有關目標管理的敘述，下列何者錯誤？",57,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-fundamental-nursing-011","病歷正確記錄的原則，下列何者錯誤？①大便次數的記錄是指該天一整天所解出的次數 ②疼痛指數的記錄以黑色實心圓記錄 ③輸出量包括大便、胸腔引流液量 ④灌腸後才解的大便次數以「1\u002FE」表示",11,111,"2026-09-04",1788510697599]