[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-108-2-內外科護理學-015","nurse-108-2-medical-surgical-015",108,2,15,"有關左側脛骨骨折病人使用柺杖之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"三點式步態：兩側柺杖與左下肢同時向前，然後右下肢跟上","柺杖頂部距腋下二橫指，身體重心放於腋下","上樓梯順序：右下肢先上階梯，然後柺杖及左下肢同時上","左下肢可以承受重量時，可用兩點式步態","B",null,[],"本題考點是拐杖使用的護理指導，題目要選「錯誤」者。依拐杖安全使用原則，身體重心應由「手掌與雙臂」承重，而非壓在腋下，腋下承重會壓迫腋神經與血管造成拐杖麻痺（crutch palsy），故選 B 為錯誤敘述。選項 A 三點式步態描述正確，患肢（左下肢）與雙拐同時前進、健肢跟上，適用單側患肢承重受限者；選項 C 上樓梯「健肢先上」（好腳先上天堂）順序正確；選項 D 患肢可部分承重時採兩點式步態亦正確。考點在於辨識重心應在手掌而非腋下的安全要點。","拐杖使用兩大安全鐵則：拐杖頂端距腋下約 2–3 橫指（避免壓迫），重心由『手掌與雙臂』承擔而非腋窩，否則長時間壓迫腋神經致腋神經麻痺。上下樓口訣：『好上壞下』——上樓健肢先上（good leg goes up to heaven），下樓患肢先下（bad leg goes down to hell），拐杖隨患肢移動。步態選擇依承重能力：三點式（單側完全不能承重）、兩點式與四點式（雙側可部分承重）。可連結身體力學與跌倒防範衛教。",[24,27,29,31],{"term":25,"count":26},"拐杖使用護理",1,{"term":28,"count":26},"重心置於手掌",{"term":30,"count":26},"腋神經麻痺",{"term":32,"count":26},"好上壞下樓梯口訣",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-016","有關脊髓攝影術檢查前後之護理措施，下列何者錯誤？",16,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-medical-surgical-032","有關惡性腫瘤特徵的敘述，下列何者正確？①細胞通常分化不良 ②腫瘤通常有被膜包覆 ③生長速度通常很迅速 ④易轉移易復發",32,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-046","針對右髖關節嚴重燒傷病人，為維持其關節最大功能之姿位，下列何者正確？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-medical-surgical-004","「走失」是阿茲海默氏症（Alzheimer’s Disease）病人，那一期重要臨床表徵？",4,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-medical-surgical-048","有關器官移植前的組織配對，降低排斥反應之檢驗項目，不包含下列何者？",48,112,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-113-1-medical-surgical-032","下列何者是持續換氣不足病人之動脈血液氣體分析最可能出現的結果？",113,"2026-09-04",1788510706314]