[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-018","nurse-107-2-medical-surgical-018",107,2,18,"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？",{"A":14,"B":15,"C":16,"D":17},"「我知道骨性關節炎是局部非炎症性的關節病變」","「在我的關節僵硬時，我應該試著整天站立」","「使用手杖可以緩解我的背部以及髖關節的壓力」","「早上洗溫水澡可以緩解早上關節僵硬的情形」","B",null,[],"本題考點是骨性關節炎(退化性關節炎)的自我照護衛教,要找出顯示病人理解錯誤、需再指導者。骨性關節炎因關節軟骨磨損退化,過度負重與久站會加重症狀,故 B「關節僵硬時應試著整天站立」錯誤,顯示認知偏差、需再教育;正確應是適度休息並避免長時間負重。A 正確:骨性關節炎確為局部、非炎症性(以退化為主)的關節病變,病人理解正確。C 正確:使用手杖可分擔背部與髖關節負荷、減輕壓力,是合宜的輔具運用。D 正確:早晨以溫水沐浴可放鬆肌肉、緩解晨僵。三者顯示正確認知,唯 B 的整天站立與疾病照護原則相悖,故為答案。","骨性關節炎(OA)是關節軟骨退化、骨質增生(骨刺)所致,好發於承重關節(膝、髖、脊椎),晨僵較短(通常 \u003C30 分鐘),與類風濕性關節炎的全身對稱性、長時間晨僵、發炎機轉不同。照護原則:維持適度活動與關節活動度但避免過度負重、體重控制、輔具減壓、溫熱緩僵、必要時止痛。B 的「整天站立」違反「動靜平衡、減少負重」的核心,是需要糾正的錯誤自我照護觀念。",[24,27,29,32],{"term":25,"count":26},"骨性關節炎",5,{"term":28,"count":10},"衛教評值",{"term":30,"count":31},"退化性軟骨病變",1,{"term":33,"count":31},"避免過度負重",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-019","有關軟組織損傷病人的護理評估結果，下列何者顯示可能有腔隙症候群？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-108-1-medical-surgical-035","汪小姐，血小板數目為 40,000\u002Fmm 3 ，下列敘述何者正確？①非常容易引起自發性出血 ②避免使用 Aspirin 或 Heparin ③肌肉注射的給藥方式最佳 ④給與軟便藥物可減少排便腸黏膜受傷",35,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-medical-surgical-049","HIV 抗體試驗呈陽性，且 T 4 細胞數目為 650 cells\u002Fmm 3 、占所有淋巴球之 35%的病人，最可能處在 HIV 疾病那一期？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-110-1-medical-surgical-007","有關不同類型腦血管意外的敘述，下列何者正確？",7,110,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-111-1-medical-surgical-051","有關鞏皮症之敍述，下列何者正確？",51,111,{"webId":59,"stem":60,"number":26,"year":61,"session":10},"nurse-112-2-medical-surgical-005","有關病人因腦腫瘤引起顱內壓升高的症狀與徵象，下列敘述何者錯誤？",112,"2026-09-04",1788510725048]