[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":10},"nurse-107-1-內外科護理學-037","nurse-107-1-medical-surgical-037",107,1,37,"有關乳癌手術後復健運動之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"在引流管拔除前，不能做復健運動，以免牽扯傷口","術後 2 天後可執行手肘以下的關節運動","術後 4～7 天才可執行刷牙、洗臉之一般日常活動","術後 1 週可游泳","B",null,[],"本題考點在乳癌手術後患肢復健運動的進程。依術後復健原則，早期即應開始漸進性關節活動以預防僵硬與淋巴水腫，一般術後 1～2 天即可執行手肘以下的手腕、握拳等遠端關節運動，選 B。A 錯在引流管留置期間仍可做不牽扯傷口的遠端運動，並非全面禁止。C 錯在刷牙、洗臉等一般日常活動可更早（約術後 1 天）開始，不需等到 4～7 天。D 錯在游泳等大幅度、需完全癒合的運動應等傷口與引流拔除後、癒合良好才進行，術後 1 週過早。","乳癌術後復健採「近端保護、遠端先動」的漸進原則：先做手指握球、手腕與手肘活動，再逐步進展到肩關節外展與上舉（爬牆運動），避免早期大幅外展牽扯傷口與引流。目的在預防肩關節攣縮並促進淋巴回流、降低患側淋巴水腫。患側同時避免量血壓、抽血、打針以防感染與水腫。實際天數各院流程略有差異，臨床以「傷口穩定、引流狀況」為進度依據，故把握度標中等。",[24,26,28,30,32],{"term":25,"count":10},"乳癌術後患肢復健",{"term":27,"count":10},"漸進性關節運動",{"term":29,"count":10},"遠端先動近端後動",{"term":31,"count":10},"淋巴水腫預防",{"term":33,"count":10},"引流管留置照護",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-038","減少腫瘤溶解症候群發生之處置，下列何者錯誤？",38,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-054","急性呼吸窘迫症候群病人使用呼氣末正壓（PEEP）的目的，下列何者正確？",54,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-068","有關糖尿病病人運動之護理指導，下列何者正確？",68,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-026","僧帽瓣逆流或狹窄的病人，易出現下列何種症狀？①呼吸困難 ②下肢水腫 ③端坐呼吸 ④咳嗽 ⑤肝腫大",26,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-070","有關康氏症候群（Conn’s syndrome）的臨床表徵，下列何者錯誤？",70,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-024","有關喉癌病人接受全喉切除術的敘述，下列何者正確？",24,112,"2026-09-04",1788510702782]