[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-107-2-內外科護理學-017","nurse-107-2-medical-surgical-017",107,2,17,"有關骨折病人使用勃克式牽引（Buck’s traction）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是一種直線式皮膚牽引","可以緩解下背部肌肉的痙攣或疼痛","常用於髖部或股骨骨折手術前的制動","膝窩及腳跟應懸空以避免血液循環受阻","D",null,[],"本題考點是勃克式牽引(Buck's traction)的原理與照護,要選出錯誤者。此為直線式皮膚牽引,常用於髖部或股骨骨折術前制動並緩解肌肉痙攣;照護上腳跟應懸空避免受壓形成壓瘡,但膝窩(膕部)不宜懸空,而應以支托維持,以免壓迫膕動脈與腓神經、影響循環與神經功能,故 D 將「膝窩及腳跟應懸空」並列為正確做法有誤,為答案。A 正確:勃克式牽引屬直線(直向)皮膚牽引。B 正確:可緩解下背或患肢的肌肉痙攣與疼痛。C 正確:常用於髖部、股骨骨折手術前的暫時性制動。唯 D 對膝窩處理的敘述不當,故為錯誤。","皮膚牽引(如 Buck's)重量較輕(一般 ≤ 8 磅\u002F約 2.3–3.6 公斤),經黏貼牽引帶施力於皮膚。照護重點:維持牽引繩、滑輪、重錘懸空且不落地、對抗牽引與身體軸線一致;腳跟離床防壓瘡;避免膕窩與腓骨頭受壓(腓神經表淺,受壓易致垂足)。本題爭議點在膝窩是否可「懸空」——臨床做法是支托而非懸空,懸空反增膕部血管神經壓迫風險,此細節為 D 的錯誤所在,故此題判讀需較細緻推理。",[24,27,29,31],{"term":25,"count":26},"勃克式牽引Buck's traction",1,{"term":28,"count":26},"直線皮膚牽引",{"term":30,"count":26},"腓神經與膕部受壓",{"term":32,"count":26},"壓瘡預防",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-018","有關骨性關節炎照護的病人敘述，下列何者顯示需要進一步的護理指導？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-medical-surgical-034","有關封閉式體內放射線治療之敘述，下列何者錯誤？",34,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-048","有關類風溼性關節炎流行病學之敘述，下列何者錯誤？",48,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-medical-surgical-006","協助昏迷病人由側臥翻成平躺時，須注意下列那一個部位是否有壓傷形成？",6,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-medical-surgical-050","有關類風濕性關節炎之敘述，下列何者正確？①手部關節會出現尺側偏斜 ②活動後有僵硬的現象 ③關節 X 光變化呈現關節腔變窄 ④關節腫脹呈現不對稱性",50,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-004","若右眼外旋神經受到血腫壓迫導致複視（diplopia），病人在下列那一種指示下，右眼複視最為明顯？",4,112,"2026-09-04",1788510725043]