[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-107-1-內外科護理學-018","nurse-107-1-medical-surgical-018",107,1,18,"有關下肢截肢手術後的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"患肢抬高時間勿超過 24～48 小時，避免關節攣縮","於兩腿間置放枕頭維持外展姿勢","手術後立即使用彈性繃帶加壓包紮","膝上截肢防髖關節屈曲攣縮，鼓勵採俯臥姿勢","B",null,[],"本題考點是下肢截肢術後預防關節攣縮的擺位。依截肢後殘肢若長時間外展、外旋或屈曲，易發生攣縮而影響義肢裝配，故不應在兩腿間放枕頭維持外展姿勢，應保持殘肢內收、伸直，B為錯誤而選B。A患肢抬高以減腫但不宜超過 24–48 小時以免髖膝屈曲攣縮，正確;C術後立即以彈性繃帶加壓包紮可塑形殘肢並減腫，正確;D膝上截肢鼓勵間歇俯臥以伸展髖關節、預防髖屈曲攣縮，正確。","截肢後攣縮預防的原則是「反其道擺位」:最易發生的攣縮是髖屈曲、外展與膝屈曲,故護理反向操作——避免久放枕頭於膝下或兩腿間、鼓勵俯臥伸髖、維持殘肢內收伸直。彈性繃帶採遠端緊近端鬆的「8 字型」纏法,幫助殘肢塑形成圓錐狀以利義肢貼合並減少水腫。抬高患肢僅限術後最初 24-48 小時且置於床面而非長期墊高,以免屈曲攣縮。另須警覺幻肢痛與術後出血(床邊備止血帶)。口訣:截肢擺位「內收、伸直、多俯臥」。",[24,27,30,32],{"term":25,"count":26},"關節攣縮預防",3,{"term":28,"count":29},"彈性繃帶塑形",2,{"term":31,"count":10},"下肢截肢術後照護",{"term":33,"count":10},"殘肢內收擺位",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-019","有關全膝關節置換術後的護理指導，下列敘述何者錯誤？",19,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-107-2-medical-surgical-035","有關深部血栓靜脈炎病人之護理措施，下列何者不適當？",35,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-1-medical-surgical-049","有關全身性紅斑性狼瘡的護理措施，下列何者錯誤？",49,108,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-2-medical-surgical-007","王小姐進行經蝶骨腦下垂體切除術，術後發現鼻部有水樣液體流出之護理措施，下列何者正確？",7,109,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-110-2-medical-surgical-051","下列何者不屬於第Ⅰ型過敏反應？",51,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-005","有關顱內壓升高的藥物治療，下列敘述何者錯誤？",5,112,"2026-09-04",1788510702590]