[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-108-2-基本護理學與護理行政-046","nurse-108-2-fundamental-nursing-046",108,2,46,"下列何項措施可預防長期臥床病人發生肌肉萎縮？",{"A":15,"B":16,"C":17,"D":18},"協助採取舒適臥位","協助每 2 小時翻身","協助床上沐浴","協助全關節活動","D",null,[],"本題考點為預防長期臥床所致肌肉萎縮的措施選擇。依廢用性萎縮的機轉，肌肉需要收縮與關節活動的刺激才能維持肌纖維量，故全關節活動（range of motion, ROM）藉由帶動各關節與相關肌群收縮伸展，可直接對抗肌肉萎縮，答案為D。A舒適臥位僅提供休息與壓力分散，不涉肌肉活動。B每2小時翻身主要目的是預防壓傷與肺部合併症，並非針對肌肉萎縮。C床上沐浴屬清潔衛生措施，雖有些微被動活動但非以維持肌力為目的。三者皆未提供足量、針對性的肌肉收縮刺激，故不如全關節活動直接有效。","廢用性萎縮源於長期缺乏機械負荷，蛋白質分解大於合成、第II型（快縮）纖維流失尤快，臥床數天即可量測到橫斷面積下降。ROM 運動（主動、協助性主動或被動）能維持關節活動度並反覆牽動肌群，是最直接的預防手段；能主動則主動，肌力不足再給協助或被動。翻身對應壓傷與墜積性肺炎，抬高患肢對應水腫，彈性襪對應深部靜脈栓塞—把「措施—併發症」配對背熟可快速排除干擾選項。可連結概念：廢用症候群、關節攣縮、等長與等張運動。",[25,28,31,33],{"term":26,"count":27},"廢用性肌肉萎縮",4,{"term":29,"count":30},"全關節活動 ROM",1,{"term":32,"count":30},"肌肉收縮刺激",{"term":34,"count":30},"臥床併發症預防措施配對",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-047","有關等張運動（isotonic exercise）的敘述，下列何者正確？",47,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-109-1-fundamental-nursing-063","護理人員對本身的工作負責，能參與執行重症病人的照護，至少須具備下列何種能力進階層級？",63,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-077","某護理師平時表現佳，但在年底進行年度考績評核前，因某事與護理長發生爭執，以致護理長對其年度考核評值分數偏低，這是屬於下列何者？",77,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-111-1-fundamental-nursing-035","有關協助病人採辛氏臥姿（Sim’s Position）之敘述，下列何者錯誤？",35,111,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-112-1-fundamental-nursing-079","依據單位內部及外部的環境作適度工作調配，帶領團隊達成共同目標，此領導者運用下列何種領導理論？",79,112,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-113-2-fundamental-nursing-013","高血壓病人醫囑為 acetaminophen 1# P.O. QID、MgO 1# P.O. BID、nifedipine 30 mg 1# P.O. QD，凌晨 0：00 開始 NPO，今日上午 10：00 進行上腸胃道攝影，至 12：30 返回病室後測量生命徵象無異常，13：00 執行給藥，下列何者最適當？（備註：該院一天四次給藥常規時間為 9-13-18-21）",13,113,"2026-09-04",1788510705907]