[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-042":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":27},"nurse-107-2-基本護理學與護理行政-042","nurse-107-2-fundamental-nursing-042",107,2,42,"承上題，針對李太太壓瘡的護理措施，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"至少每兩小時改變姿勢","移動個案時，以抬高個案方式移動","可使用肥皂清潔皮膚，保持乾燥","可利用氣墊床減輕壓力","C",null,[],"本題考點在壓瘡照護措施的正確原則。依皮膚屏障保護原理，鹼性肥皂會洗去皮脂、破壞角質層並使皮膚乾裂，反而降低皮膚耐受度，故 C「用肥皂清潔皮膚」為錯誤敘述，應改用中性或弱酸性清潔品並保濕，選 C。A 至少每兩小時翻身，依減壓原理讓同一部位壓力間歇釋放，正確。B 移動時以抬高方式取代拖拉，可避免剪力與摩擦力造成表皮損傷，正確。D 使用氣墊床藉交替充氣分散並降低骨突處介面壓力，正確。三者皆符合壓瘡預防原則，唯 C 違反皮膚保護概念，是本題要挑出的錯誤措施。","翻身頻率的「兩小時」來自微血管在持續壓力下約 1～2 小時即缺血受損；坐姿因壓力集中於坐骨結節，間隔應更短。清潔重點是移除刺激物同時保住皮脂膜，故避免熱水、鹼性皂與過度搓揉，失禁者可用免沖洗清潔劑加皮膚保護膜。氣墊床屬減壓（pressure-reducing）輔具，但不能取代翻身。對比記憶：預防壓瘡＝減壓、減剪力、控潮濕、顧營養，四項缺一不可。",[25,28,30,32],{"term":26,"count":27},"皮膚屏障與皮脂膜",1,{"term":29,"count":27},"剪力與摩擦力",{"term":31,"count":27},"兩小時翻身原則",{"term":33,"count":27},"減壓輔具",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-2-fundamental-nursing-043","下列何種運動只能促進血液循環、強化肌肉力量，但不能維持關節活動功能？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-108-1-fundamental-nursing-059","下列敘述，何者不符合巴瑞多（Pareto）的 80\u002F20 原理？",59,108,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-108-2-fundamental-nursing-073","下列何者是異常事件通報最主要目的？",73,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"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？",31,110,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-111-1-fundamental-nursing-075","有關護理人員預防醫療糾紛發生之敘述，下列何者正確？",75,111,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-112-2-fundamental-nursing-029","關於清潔灌腸之敘述，下列何者正確？",29,112,"2026-09-04",1788510724524]