[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-046":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-107-2-基本護理學與護理行政-046","nurse-107-2-fundamental-nursing-046",107,2,46,"下列何者不是造成壓瘡（pressure sore）的原因？",{"A":15,"B":16,"C":17,"D":18},"大小便尿失禁未定時清理","使用氣墊床但未按時翻身","坐姿時先抬高床尾再抬高床頭","移動病患時用翻身單拖拉病患","C",null,[],"本題考點在壓瘡成因的辨識。依壓瘡形成三要素（壓力、剪力、潮濕），C「坐姿時先抬高床尾再抬高床頭」是正確擺位技巧：先撐住臀部再升床頭可避免身體下滑產生剪力，故它不是造成壓瘡的原因，選 C。A 失禁未定時清理，潮濕與排泄物刺激使皮膚浸潤軟化，是原因。B 雖用氣墊床但未翻身，減壓輔具不能取代翻身，持續壓力仍會缺血，是原因。D 移動時用翻身單拖拉，皮膚與床面產生摩擦與剪力，是原因。三者皆會促成壓瘡，唯 C 為預防措施，故為本題答案。","剪力（shear）常被忽略：床頭抬高時身體因重力下滑，深層組織被往下拉、表皮卻被床單卡住，血管被扭折而缺血，薦骨處尤其危險，這也是壓瘡分期中深部組織損傷的成因。正確做法是床頭抬高不超過 30 度、先屈膝或先抬床尾再抬床頭。氣墊床屬輔助非萬能，仍須定時翻身。對比記憶：「壓力垂直壓、剪力斜著拉、摩擦表面磨、潮濕泡軟皮」。",[25,28,31,33],{"term":26,"count":27},"剪力",5,{"term":29,"count":30},"壓瘡三要素",1,{"term":32,"count":30},"床頭擺位技巧",{"term":34,"count":30},"減壓輔具限制",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-2-fundamental-nursing-047","楊先生昏迷多時，現口鼻部有大量分泌物，為他翻身時最適當的姿勢為：",47,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-108-1-fundamental-nursing-063","護理主管透過預算的編列，將組織的收入和支出做有系統的歸納與安排。下列有關預算的敘述何者正確？",63,108,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"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,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-110-1-fundamental-nursing-035","為一位 76 歲罹患乳癌並有骨轉移之病人進行床上沐浴及背部護理時，下列方式何者較適宜？",35,110,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-111-1-fundamental-nursing-079","下列何種衝突管理策略可達到雙贏？",79,111,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-112-2-fundamental-nursing-033","趙先生，47 歲，因口腔癌接受化學治療和放射線治療，口腔內兩側頰膜紅腫、並出現白色念珠菌感染（candidiasis），護理人員欲協助口腔護理，下列何種溶液最適用於含漱？",33,112,"2026-09-04",1788510724562]