[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-108-1-基本護理學與護理行政-046","nurse-108-1-fundamental-nursing-046",108,1,46,"朱先生因中風造成左半邊肢體肌肉無力，肌肉力量測試為「0」分，護理人員協助執行患側髖關節被動性運動，有關動作執行過程，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"一手握住小腿，一手托起大腿，抬起患腿朝頭部方向，做曲膝屈曲動作","一手托住腳後跟，一手置於膝下，把腿伸直托高，依水平方向往外移動，做外展動作","一手握住腳後跟，一手置於足背向下按壓，做踝部過度伸展運動","一手置於患側髖部，另一手於患腿膝蓋上方用力向下壓，做阻力運動","B",null,[],"本題考點是肌力0分(完全癱瘓)患側的被動關節活動技巧。依被動運動原則,護理人員須全程支托關節上下方、在正常生理範圍內緩慢執行,不可施加阻力或過度伸展。B以一手托腳後跟、一手置於膝下,將腿伸直托高後沿水平方向往外移動做外展,正確支托並在正常範圍內活動,故選B。A將患腿朝頭部方向做曲膝屈曲,動作描述牽動幅度與方向不當;C對踝部做「過度伸展」超出生理範圍,可能造成關節與軟組織傷害,錯誤;D在膝蓋上方「用力向下壓做阻力運動」,但肌力0分無主動收縮能力,被動運動更不應加阻力,錯誤。三個錯誤選項分別犯了方向不當、過度活動與加阻力,唯B支托與範圍皆正確。","關節活動範圍運動分級:被動(全由他人執行,適用肌力0–1)、主動協助、主動、抗阻力(適用肌力3以上)。徒手肌力測試0=無收縮、1=可觸微收縮無動作、2=消除重力可動、3=可抗重力、4=可抗中度阻力、5=正常。被動運動兩大原則:支托關節近遠端、動作在無痛生理範圍內緩慢進行,禁過度伸展與加阻力,以防脫位與軟組織傷害。可連結中風偏癱復健與廢用症候群預防。",[25,28,30,32],{"term":26,"count":27},"徒手肌力分級",2,{"term":29,"count":11},"被動關節活動",{"term":31,"count":11},"關節支托",{"term":33,"count":11},"外展動作",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-047","70 歲的陳先生已採用半流質飲食（semi-liquid diet）1 個月，下列何者不是陳先生適當的飲食方式？",47,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-108-2-fundamental-nursing-063","有關損益平衡點之敘述，下列何者正確？",63,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-077","臨床上若有病人自殺或意外而導致死亡，當班護理師處理順序，除保留現場狀況外，下列何者順序較為適宜？①通知當班主管馬上報警 ②通知家屬 ③書寫護理紀錄",77,109,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-110-2-fundamental-nursing-035","病人右手臂正在進行靜脈輸液，護理人員發現其點滴流速不順暢、沒有回血、注射部位水腫且冰冷，下列處置何者最適當？",35,110,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-111-2-fundamental-nursing-079","護理師平時表現不錯，於年終考核期間，與護理長在新進人員教學方法上意見相左，產生爭執，因而考核得到乙等。屬於下列何種績效考核偏誤？",79,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-fundamental-nursing-033","有關收集 24 小時尿液檢體的敘述，下列何者正確？",33,112,3,"2026-09-04",1788510709155]