[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-044","nurse-108-1-medical-surgical-044",108,1,44,"有關蜂窩性組織炎的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"患部可見大片界線分明的紅斑與水疱","冷敷患部以減輕水腫與炎症反應","常見綠膿桿菌引起的傷口感染","鼓勵患肢運動，以減輕水腫","B",null,[],"本題考點在於蜂窩性組織炎的病灶特徵與處置。蜂窩性組織炎為真皮深層與皮下組織的瀰漫性細菌感染，急性期以冷敷可收縮血管、減輕局部水腫與發炎不適，故選 B。（A）錯在「界線分明的紅斑與水疱」是丹毒（erysipelas）侵犯較淺真皮的特徵；蜂窩性組織炎紅斑邊界模糊不清。（C）錯在最常見致病菌為 β 溶血性鏈球菌與金黃色葡萄球菌，綠膿桿菌並非典型主因。（D）錯在急性發炎期應抬高並休息患肢以促進靜脈淋巴回流、減輕水腫，鼓勵運動反而加重腫脹與擴散。","鑑別重點在感染深度：丹毒淺（真皮上層，邊界清、突起、鮮紅）；蜂窩性組織炎深（真皮下層與皮下，邊界糊、瀰漫紅腫熱痛）。急性期冷敷減痛消腫、亞急性後可視情況溫敷助吸收，並以抬高患肢促回流為原則。致病菌記憶：完整皮膚多為鏈球菌，有傷口或膿則多金黃色葡萄球菌，綠膿桿菌常見於潮濕或免疫低下特殊情境。連結概念：丹毒、β 溶血性鏈球菌、抬高患肢、淋巴回流。",[24,27,30,32,34],{"term":25,"count":26},"抬高患肢",6,{"term":28,"count":29},"蜂窩性組織炎",3,{"term":31,"count":10},"丹毒 erysipelas",{"term":33,"count":10},"β 溶血性鏈球菌",{"term":35,"count":10},"冷敷消腫",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-045","有關生殖器疱疹的敘述，下列何者錯誤？",45,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-108-2-medical-surgical-061","尿流速之檢查結果，最大尿流速為 8 mL\u002F秒，下列何者為最可能之診斷？",61,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-109-1-medical-surgical-075","有關肉毒桿菌中毒的敘述，下列何者錯誤？",75,109,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-110-2-medical-surgical-033","評估時請病人快速彎曲足背，如果出現小腿疼痛，表示為下列何種徵象？",33,110,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-111-2-medical-surgical-077","有關服用有機磷中毒的護理措施，下列何者錯誤？",77,111,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-112-3-medical-surgical-031","有關後天免疫缺乏症候群（AIDS）病人防護措施的敘述，下列何者正確？",31,112,"2026-09-04",1788510709890]