[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":10},"nurse-108-2-內外科護理學-002","nurse-108-2-medical-surgical-002",108,2,"李先生是建築工人，近日因椎間盤突出入院行腰椎椎板切除術，護理師提供之術後護理指導，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"絕對臥床 3 日才可以下床活動","背架需使用 3～6 個月，只有睡覺及洗澡時可取下","出院後可立即恢復正常的活動","使用柔軟的床鋪以減輕腰背部的壓力","B",null,[],"本題考點是腰椎椎板切除術後的活動與支撐指導。依術後脊椎穩定需求，病人需配戴背架（背部支架）3～6 個月以保護手術部位，僅在睡覺及洗澡時可取下，故選 B。選項 A「絕對臥床 3 日才可下床」錯誤，現今鼓勵早期漸進下床活動以防併發症；選項 C「出院後可立即恢復正常活動」錯誤，需避免彎腰、扭轉、提重等增加脊椎負荷的動作，循序漸進；選項 D「使用柔軟床鋪」錯誤，應睡硬板床以維持脊椎正常曲線與支撐。考點在於辨識背架使用時機與脊椎保護原則。","腰椎手術後護理核心是保護脊椎、避免神經再受壓：睡硬板床維持脊椎排列、翻身採圓木翻身法（log rolling）保持頭頸軀幹一直線、避免彎腰扭轉提重、配戴背架支撐數月。此病人為建築工人（勞力工作），復工前更需衛教身體力學與護腰。記憶口訣：硬床、圓木翻身、背架撐、不彎不扭不提重。可連結椎間盤突出的病生理（髓核突出壓迫神經根致坐骨神經痛）與身體力學（body mechanics）搬運原則。",[23,25,28,30],{"term":24,"count":10},"背架使用",{"term":26,"count":27},"腰椎椎板切除術後護理",1,{"term":29,"count":27},"圓木翻身法",{"term":31,"count":27},"脊椎保護原則",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-2-medical-surgical-003","腦腫瘤病人進行外科手術移除腫瘤後，顱內壓仍非常高，下列何種方式可以協助降低顱內壓？",3,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-109-1-medical-surgical-019","王先生，55 歲，身體質量指數為 30 kg\u002Fm 2 ，紅血球沉降速率正常範圍，主訴早晨起來關節疼痛與僵硬，在活動幾分鐘後可緩解僵硬。下列何者為王先生最可能的診斷？",19,109,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-109-2-medical-surgical-033","有關病人心電圖 VT 之相關處置，下列何者正確？",33,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-2-medical-surgical-071","有關蝶骨切除腦下垂體腫瘤的手術後護理處置，下列何者正確？",71,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-112-1-medical-surgical-035","有關瀰漫性血管內凝血的敘述，下列何者正確？①與感染有關 ②常出現凝血症狀 ③檢查時纖維蛋白原下降 ④常出現出血症狀",35,112,{"webId":57,"stem":58,"number":40,"year":59,"session":27},"nurse-113-1-medical-surgical-019","有關心臟節律器之敘述，下列何者正確？",113,"2026-09-04",1788510706202]