[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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":11},"nurse-108-2-基本護理學與護理行政-041","nurse-108-2-fundamental-nursing-041",108,2,41,"有關脊椎手術術後病人之移動與翻身擺位敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"以圓滾木翻身法搬動病人","採俯臥以利口鼻分泌物引流","移動時需保持病人脊柱平直","翻身時雙手抓緊病人肩及臀之翻身單","B",null,[],"本題考點為脊椎手術後維持脊柱直線排列（body alignment）的翻身原則。依脊椎術後照護準則，任何移動都必須讓頭、頸、軀幹保持在同一直線、脊柱不可扭轉或彎曲，以免傷及尚未穩定的手術部位或神經。俯臥會使腰椎前凸增加、胸腹受壓且不利脊柱平直維持，並非用來引流口鼻分泌物的擺位，故敘述錯誤、答案為B。A圓滾木翻身法（log-rolling）正是讓身體整體如圓木般一致翻轉、維持脊柱平直的標準手法，正確。C移動時保持脊柱平直是核心原則，正確。D以翻身單同時抓緊肩與臀，可讓上下半身同步移動、避免軀幹扭轉，正確。","圓滾木翻身法的關鍵在於「軸向一致」：由兩到三名人員在同一口令下，將病人視為一根不可彎折的圓木整體滾動，肩與骨盆務必同時轉動，任何一段落後都會產生剪力與旋轉，危及脊椎融合或內固定。俯臥（prone）之所以被排除，是因它增加腰椎前凸與腹內壓，不符合脊椎術後的中立位需求；引流口鼻分泌物靠的是側臥或頭側偏，而非俯臥。記憶對比：log-roll＝脊椎、胸腰椎術後；HOB 平躺中立位＝維持排列。可連結概念：body alignment、剪力、脊椎融合術後穩定度。",[25,27,30,32],{"term":26,"count":11},"圓滾木翻身法",{"term":28,"count":29},"脊柱平直排列",1,{"term":31,"count":29},"俯臥的生理影響",{"term":33,"count":29},"脊椎術後照護",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-fundamental-nursing-042","病人採側臥，應留意側身肢體易受壓迫處皮膚狀態，下列何者除外？",42,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-fundamental-nursing-058","麥克葛羅格（McGregor）提出他對人性在管理上的假設，主張人性是樂觀進取的、樂於工作，能自動自發及自我實現，此為何種理論？",58,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-fundamental-nursing-072","根據 Douglass（1988）衝突解決模式，當衝突發生時，解決衝突的步驟中下列何者為最優先？",72,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-fundamental-nursing-030","放置存留導尿管的病人需收集尿液檢體進行細菌培養（urine culture），收集方式之敘述下列何者正確？",30,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-1-fundamental-nursing-074","喜歡一起旅遊、唱歌的同仁聚集組成的組織稱為：",74,112,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-113-2-fundamental-nursing-008","有關護理目標的訂定，下列何者最具體？",8,113,"2026-09-04",1788510705868]