[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"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":11},"nurse-109-1-基本護理學與護理行政-017","nurse-109-1-fundamental-nursing-017",109,1,17,"為預防長期臥床病人產生壓瘡，下列措施何者合宜？",{"A":15,"B":16,"C":17,"D":18},"以氣圈放置在病人薦椎，可預防薦椎處壓瘡","當骨突處的表皮已發紅，應多按摩以加速血液循環","視病人情況，應每 1～2 小時協助病人翻身一次","大便失禁者應常常以肥皂清洗臀部，以維持臀部清潔和乾燥","C",null,[],"本題考點在於長期臥床病人壓瘡的正確預防措施。依減壓與定時翻身的原則,應視病人情況每1至2小時協助翻身一次,分散骨突處持續受壓,選項C正確。選項A以氣圈(donut)墊薦椎反而壓迫周邊組織、阻礙局部血流,已不建議使用;B骨突處表皮已發紅代表初期組織受損,按摩會加重深部剪力與損傷、應避免;D以肥皂頻繁清洗臀部會去除皮脂、使皮膚乾燥龜裂,反降低皮膚屏障,失禁照護應溫和清潔並保護皮膚,故選C。","壓瘡四大成因:壓力、剪力、摩擦力與潮濕。預防核心為定時翻身(至少每2小時)、減壓支撐面、皮膚保護與營養。發紅未反白(non-blanchable)即第一期壓瘡、禁按摩;氣圈因造成環狀壓迫已被淘汰。潮濕相關皮膚炎需屏障霜而非強力清潔。",[25,27,29,31],{"term":26,"count":11},"壓瘡預防",{"term":28,"count":11},"定時翻身每2小時",{"term":30,"count":11},"第一期壓瘡禁按摩",{"term":32,"count":11},"氣圈禁用",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-109-1-fundamental-nursing-018","服用下列藥物容易發生跌倒危險性，何者除外？",18,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-109-2-fundamental-nursing-034","林女士腸道手術後，靜脈留置針位於左前臂，護理師應如何協助林女士更衣？①先脫右側 ②先脫左側 ③先穿右側 ④先穿左側",34,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-110-1-fundamental-nursing-048","長期側臥不動的病人，容易發生壓瘡部位為何？①耳朵 ②枕骨 ③腸骨嵴 ④尾椎骨 ⑤踝部",48,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-fundamental-nursing-006","護理師評估病人所收集的資料，下列何者為症狀（symptom）？",6,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-fundamental-nursing-050","彈性繃帶最常應用於下列何種狀況？",50,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-fundamental-nursing-014","醫囑：Gentamycin ® 30 mg Q6H I.V. drip in 30 c.c. N\u002FS（IV bag）需滴注 30 分鐘。若使用流速 60 gtts\u002Fc.c.的微滴套管，須調整每分鐘多少滴數，才會如期滴完？",14,113,3,"2026-09-04",1788510711785]