[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-017","nurse-108-2-medical-surgical-017",108,2,17,"針對退化性關節炎病人之護理指導，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"冰敷有助減輕炎症反應以緩解疼痛","使用 aspirin 止痛時，避免空腹服用","日常活動應儘量採等長運動以減少關節負重之壓力","鼓勵病人減重，以減輕膝關節的負荷","C",null,[],"本題考點是退化性關節炎（骨關節炎）的護理指導，選不適當者。明確適當者為：使用aspirin止痛應避免空腹以減少腸胃刺激（B）、鼓勵減重以減輕膝關節負荷（D）；冰敷可緩解疼痛與局部發炎（A）亦屬可接受範圍。官方將C列為不適當，重點在於日常生活應依「關節保護原則」（善用大關節、避免長時間固定同一姿勢與過度負重）安排，而非把日常活動一律以等長運動取代；等長運動雖可用於強化關節周邊肌力，但將其當成減少關節負重的日常活動指導，屬概念套用不當，故選C。","退化性關節炎管理三主軸：減重、適度運動、藥物與物理療法。運動處方常見等長（isometric，如股四頭肌收縮）與非負重有氧（游泳、騎車）以強化肌力並保護關節；但「日常活動」本質需要動態、跨關節的動作，無法以等長運動替代，關節保護的作法是調整活動方式（用大關節提物、避免久蹲久站、分散負荷、急性發炎期適度休息）。B須注意NSAID／aspirin的腸胃道副作用，隨餐服用。D體重每減輕1公斤，膝關節負荷可下降數倍。A退化性關節炎雖以退化為主，仍可有滑膜炎，冷、熱敷依症狀選用（僵硬用熱、急性腫痛用冷）。",[24,27,30,32],{"term":25,"count":26},"關節保護原則",3,{"term":28,"count":29},"退化性關節炎(骨關節炎)",1,{"term":31,"count":29},"等長運動用於肌力強化",{"term":33,"count":29},"減重與非負重運動",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-medical-surgical-018","有關中耳手術後病人護理措施及指導之敘述，下列何者錯誤？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-medical-surgical-034","有關癌症手術治療特性之敘述，下列何者正確？",34,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-medical-surgical-048","成年病人燒傷面積：軀幹正面皮膚發紅且有大片水泡、右上肢前面皮膚呈現灰白色以及有水泡。依九的法則計算其燒傷總體表面積，下列何者正確？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-medical-surgical-006","有關頭部創傷之敘述，下列何者正確？",6,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-1-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現伺機性感染之敘述，下列何者正確？",50,112,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-113-1-medical-surgical-034","王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",113,"2026-09-04",1788510706325]