[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-020":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":10},"nurse-107-2-內外科護理學-020","nurse-107-2-medical-surgical-020",107,2,20,"有關截肢病人的照護，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用枕頭抬高患肢，以防造成截肢處近心端的關節攣縮","可以在患肢的縫線周圍向縫線處，由外而內進行按摩","起床後應立即穿上義肢，以減輕腫脹程度","手術後立即使用彈性繃帶，以協助控制水腫","A",null,[],"本題考點是截肢後殘肢的照護,要選出錯誤者。以枕頭長時間墊高殘肢,雖短暫可助消腫,卻會使髖或膝關節持續屈曲而造成屈曲攣縮,反而妨礙日後義肢裝配,故 A「使用枕頭抬高患肢以防近心端關節攣縮」錯誤——其做法與宣稱目的相反,抬高枕頭正是造成攣縮的原因,應改採俯臥等姿勢預防攣縮。B 正確:可於殘肢縫線周圍朝縫線方向按摩,有助減敏與循環。C 正確:起床後儘早穿戴義肢有助控制腫脹並促進功能。D 正確:術後以彈性繃帶包紮可協助塑形殘肢、控制水腫。唯 A 的手段與目的自相矛盾,故為錯誤答案。","截肢後照護兩大重點是「預防攣縮」與「塑形殘肢」。預防攣縮:避免長時間以枕頭墊高殘肢(易致屈曲攣縮)、鼓勵定時俯臥伸展髖關節、維持關節活動度。塑形消腫:術後彈性繃帶「8 字形」由遠端向近端加壓包紮、逐步減敏按摩、及早裝配臨時義肢負重。另需觀察幻肢感\u002F幻肢痛與傷口出血。A 的錯誤在於「墊高預防攣縮」的因果顛倒——墊高反而促成攣縮,是經典誘答設計。",[24,26,28,31],{"term":25,"count":10},"屈曲攣縮預防",{"term":27,"count":10},"彈性繃帶塑形",{"term":29,"count":30},"截肢後殘肢照護",1,{"term":32,"count":30},"義肢裝配",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-021","下列何者為預防上石膏肢體肌肉力量變差之運動？",21,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-108-1-medical-surgical-037","有關癌細胞特性之敘述，下列何者錯誤？",37,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-051","肺栓塞病人於血栓形成後 72 小時內，可給與下列何種藥物以快速溶解血塊？",51,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-110-1-medical-surgical-009","有關吸收不良症候群的臨床表徵，下列何者正確？",9,110,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-111-1-medical-surgical-053","下列何者為肺水腫最典型的症狀？",53,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-007","關於腦瘤伽馬刀（gamma knife）立體定位放射線手術之敘述，下列何者正確？①適用於直徑小於 3 公分腫瘤 ②不會有手術切開傷口 ③治療時間約需半小時 ④使用碘放射線射入腫瘤以破壞腫瘤細胞",7,112,"2026-09-04",1788510725065]