[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-035","nurse-107-2-medical-surgical-035",107,2,35,"有關深部血栓靜脈炎病人之護理措施，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"協助抬高患肢臥床休息","教導穿彈性襪","注意是否有肺栓塞徵候","提供患肢按摩以緩解不適","D",null,[],"本題考點是深部靜脈血栓靜脈炎的護理禁忌。患肢已有血栓,按摩會使血栓鬆動脫落、隨血流造成肺栓塞等致命併發症,故『提供患肢按摩』不適當,選 D。(A)抬高患肢促進靜脈回流、減輕腫脹,適當;(B)穿彈性襪促進靜脈回流、預防鬱血,適當;(C)注意肺栓塞徵候(突發胸痛、呼吸困難、血氧下降)是必要監測,適當。","DVT 三要素(Virchow triad):血流滯緩、血管內皮受損、高凝狀態。護理鐵律:急性期絕不按摩或用力擠壓患肢,以免栓子脫落。肺栓塞警訊:突發呼吸困難、胸痛、心搏過速、咳血、血氧驟降。預防措施:早期下床活動、彈性襪、間歇性充氣加壓、抗凝劑。",[24,27,29,31],{"term":25,"count":26},"肺栓塞",9,{"term":28,"count":10},"深部靜脈血栓",{"term":30,"count":10},"彈性襪",{"term":32,"count":33},"患肢按摩禁忌",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-036","心臟週期的那一階段會出現第一心音？",36,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-108-1-medical-surgical-052","肺結核病人若無法遵從醫師所開立的醫囑規則服藥時之護理措施，下列何者最適當？",52,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-medical-surgical-066","有關腎盂腎炎的敘述，下列何者錯誤？",66,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-110-1-medical-surgical-024","因呼吸衰竭而血中二氧化碳分壓（PaCO 2 ）過高時，下列症狀何者最可能立即危及生命？",24,110,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-111-1-medical-surgical-068","有關經尿道前列腺切除術的敘述，下列何者錯誤？",68,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-medical-surgical-022","有關鼻咽癌病人接受放射線治療之護理指導，下列何者錯誤？",22,112,"2026-09-04",1788510725207]