[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-019":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-108-1-內外科護理學-019","nurse-108-1-medical-surgical-019",108,1,19,"有關腔症候群的評估與處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"最早出現的症狀是感覺異常","腔症候群出現時要立即解除壓迫的來源","患肢抬高需高於心臟，以減輕肢體腫脹","皮膚蒼白，指甲床微血管充填會大於 3 秒","C",null,[],"本題考點為腔室症候群的評估與處置，屬選錯誤題。依其病生理，腔室內壓升高會壓迫血管神經造成缺血，患肢應維持與心臟同高而非高於心臟；抬高過心臟會降低動脈灌流壓、加重缺血，故錯誤者為C。A最早症狀為感覺異常（麻），正確；B需立即解除石膏或包紮等壓迫來源，正確；D皮膚蒼白、微血管充填大於3秒反映灌流不足，正確。","腔室症候群典型「6P」：Pain（不成比例且被動牽拉加劇）、Paresthesia、Pallor、Pulselessness、Paralysis、Poikilothermia，其中疼痛與感覺異常最早出現。處置核心是解除壓迫、患肢平放於心臟高度，嚴重者行筋膜切開術。記憶：抬高只適用單純水腫，缺血狀態抬高反而害事。",[24,27,30,32],{"term":25,"count":26},"腔室症候群",4,{"term":28,"count":29},"筋膜切開術",3,{"term":31,"count":10},"肢體灌流",{"term":33,"count":10},"6P症狀",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-medical-surgical-020","有關骨質疏鬆症與骨密度檢查的敘述，下列何者錯誤？",20,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-108-2-medical-surgical-036","有關乳癌轉移壓迫脊髓最常見之部位，下列何者正確？",36,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-medical-surgical-050","當肺炎病人出現呼吸道清除功能失效與分泌物增加，且無法進行有效性咳嗽。下列護理措施何者最能促進其清除痰液？",50,109,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-110-2-medical-surgical-008","有關顱內壓升高（IICP）的護理措施，下列何者正確？",8,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-medical-surgical-052","有關促進胸腔手術術後病人咳嗽的護理措施，下列何者最適當？",52,111,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-112-3-medical-surgical-006","下列何者不屬於腦幹功能評估？",6,112,"2026-09-04",1788510709642]