[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-072","nurse-107-2-medical-surgical-072",107,2,72,"有關糖尿病人足部照護之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可用刀片自行切除腳部硬繭或雞眼","可用浮石輕輕將硬繭或雞眼磨光","修剪指甲，需剪成直線型並在腳趾邊緣挖皮","洗澡前先以前臂或手肘測試水溫","D",null,[],"本題考點在糖尿病人足部照護的安全原則。依病生理,糖尿病周邊神經病變使足部感覺遲鈍,難以察覺水溫過高而易燙傷,故洗腳前應先以前臂或手肘測試水溫,正確者選 D。選項 A 錯,不可用刀片自行切除硬繭或雞眼,易造成傷口與難癒合的潰瘍感染;選項 B 錯,雖有人以浮石輕磨,但『磨光』力道過度仍會傷及皮膚,非安全建議且對照 D 明確正確者應選 D;選項 C 錯,剪指甲應平剪、避免剪太深或在腳趾邊緣挖皮,以免造成嵌甲與傷口。糖尿病足照護核心在避免任何微小外傷。","糖尿病足三大機轉:周邊神經病變(感覺喪失、不覺疼痛與高溫)、周邊血管病變(供血不足致癒合差)、免疫功能下降(易感染),三者疊加使小傷口惡化為潰瘍甚至截肢。照護原則:每日檢視雙足、以手肘測水溫、平剪指甲、勿自行處理繭與雞眼、穿合腳鞋襪、控制血糖。口訣:感覺不到高溫→用手肘試水;任何小傷都當大事。",[24,27,29,32],{"term":25,"count":26},"周邊神經病變",5,{"term":28,"count":10},"糖尿病足照護",{"term":30,"count":31},"水溫測試",1,{"term":33,"count":31},"避免足部外傷",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-073","有關康氏症候群（Conn’s syndrome）之臨床表徵，下列何者正確？",73,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-medical-surgical-009","有關上消化道出血的臨床表徵，下列何者正確？",9,108,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-109-1-medical-surgical-023","有關扁桃腺炎病人接受扁桃腺切除術之敘述，下列何者錯誤？",23,109,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-110-1-medical-surgical-061","有關血液透析（HD）與持續可攜帶式腹膜透析（CAPD）治療的敘述，下列何者錯誤？",61,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-025","有關扁桃腺炎的處置，下列何者錯誤？",25,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-059","有關多重共病腎衰竭病人之服藥注意事項，下列何者錯誤？",59,112,"2026-09-04",1788510725534]